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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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239
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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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ea"•" SAN JOAQUIN COON' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • oq... P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 4 .v- Date: _ _ <br /> Address: Z City: L-C, _ Zip Code: (�5 2 q.Z <br /> caner/Operator: L-=(re^ `` /]� Telephone: ( I <br /> Program Element: I Z Program Record: O f--� I Inspection Type: Q 'i J_t <br /> 8180 Posted-Ayes El No Permit Posted Yes " No Re-Inspection on or After: l.lT <br /> S AND CORRECTIVE ACTION�i <br /> roe <br /> A(( e b nof- o*s-a-S5. u ,d er co Pro <br /> 6 <br /> Thsi 1 r i 4 }■2r/,n SFU o lc-jr2 I .a n <br /> S 40 4z!2f <br /> WEIo� <br /> '^ ility Hot Water Temperature _ f _ War `I _ <br /> Hand Sink: F (Chlorine: ppmeat:arewashing Smk: L (� �F Ouat.Amm.: ppm Other. "F <br /> ESpeciallst: <br /> By/Titl <br /> 1_ Phone: 1406 Time Out: J� Pagett <br /> 2 : d <br /> FOOD PROGRAM OIR CONTINUATION <br /> EHD 1624 (2n°pg) 4/3/13 <br />
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