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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LAKEWOOD MALL
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1600 - Food Program
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PR0160198
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COMPLIANCE INFO
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Entry Properties
Last modified
5/28/2020 1:43:38 PM
Creation date
12/7/2018 6:22:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160198
PE
1623
FACILITY_ID
FA0000776
FACILITY_NAME
HOUSE OF COFFEES
STREET_NUMBER
239
STREET_NAME
LAKEWOOD MALL
City
LODI
Zip
95242
APN
03534009
CURRENT_STATUS
01
SITE_LOCATION
239 LAKEWOOD MALL
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\L\LAKEWOOD\239\PR0160198\COMPLIANCE.PDF
QuestysFileName
COMPLIANCE
QuestysRecordDate
12/17/2015 7:42:37 PM
QuestysRecordID
2952575
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUN" <br /> < ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • df.,., . ..;P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Q 0 4. Date: <br /> Address: 7-35 <br /> -3 tJ00cit City. L C)ck <br /> Zip Code: y52 4 <br /> Owner/Operator: 2 hh -� Telephone: <br /> r 6-x <br /> Program Element: Program Record: 6�09b 37 Z Inspection Type: <br /> nt <br /> 8180 Posted Yes ❑ No Permit Posted Yes - No Re-Inspection on or After: <br /> 'I m'7e "�CcC Q 0. G C <br /> /k( voc'E sawn '+5 Also !t�•..e.ti a.diz bct i <br /> a re �, h Ve a <br /> .F' <br /> T(�- r�e^,�1 e does � f u �►-� � <br /> Permit. o sy"o,.)eA <br /> o ee_ w + ' Ste, d <br /> 54 a 2� + 1Y Sl,e is .tcrl- sure_ <br /> &CL <br /> C'� r- �s a.r¢ nc��r (�nauv. a�- its •{-ft.,� <br /> J' port.¢ wr dit l s 32-7 ' ySZ'L <br /> YJarewashing <br /> am: and Sink: -F hlorine: PPM Heat `F <br /> Exp.Date: arewashing Sink: 'F uat. Amm.: PPM Other: F <br /> ESpecialist: <br /> Title: <br /> Phone: y6�-3�iCV Time Out: Page/of <br /> ERG 16-24 (2-Pg) 4/373 FOOD PROGRAM OIR CONTINUATION <br />
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