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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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1421
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1600 - Food Program
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PR0161425
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COMPLIANCE INFO
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Entry Properties
Last modified
11/19/2024 10:19:29 AM
Creation date
1/23/2019 2:32:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0161425
PE
1624
FACILITY_ID
FA0002565
FACILITY_NAME
ISLAND GOURMET
STREET_NUMBER
1421
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
1421 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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o�au�M. San Joaquin County <br /> Environmental Health Department <br /> ` 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.or /ca ehd <br /> Food Program Official Inspection Report <br /> Facility Name and Address: ISLAND GOURMET, 1421 W ELEVENTH ST, TRACY 95376 <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code. If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Allen, Owner <br /> EH Specialist: MELISSA NISSIM Phone: (209) 468-3168 <br /> FA0002565 PRO161425 SCO01 08/24/2015 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br />
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