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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0506012
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
5/14/2021 8:44:13 AM
Creation date
3/1/2019 11:50:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0506012
PE
1625
FACILITY_ID
FA0007144
FACILITY_NAME
CALIFORNIA BURRITO
STREET_NUMBER
6425
Direction
W
STREET_NAME
BANNER
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05532020
CURRENT_STATUS
01
SITE_LOCATION
6425 W BANNER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... _ P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CALIFORNIA BURRITO, 6425 W BANNER RD , LODI 95242 <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: Jaime Tobanche, owner <br /> EH Specialist: VIDAL PEDRAZA Phone: (209)468-0334 <br /> FA0007144 SR0080207 SC061 02/14/2019 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program Service Request Inspection Report <br />
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