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COMPLIANCE INFO_2017-2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PERSHING
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1600 - Food Program
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PR0542438
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COMPLIANCE INFO_2017-2019
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Last modified
9/29/2020 3:50:46 PM
Creation date
2/15/2019 9:10:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-2019
RECORD_ID
PR0542438
PE
1623
FACILITY_ID
FA0024390
FACILITY_NAME
FUNCTIONAL 4 NUTRITION
STREET_NUMBER
5403
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5403 N PERSHING AVE STE 10
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Food Program Service Request Inspection Report <br />Facility Name and Address: , 5403 N PERSHING AVE , STOCKTON <br />Environmental Health Department <br />NOTES <br />Ok to issue permit when fees are paid. Obtain permit prior to operating the business. <br />PE 1623. fees $ 350. <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: <br />EH Specialist:Phone:(209) 468-0334 <br />Stephanie Villanueva, owner <br />VIDAL PEDRAZA <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program Service Request Inspection Report <br /> SR0081417 SC061 11/20/2019
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