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COMPLIANCE INFO_2015-2019
EnvironmentalHealth
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1600 - Food Program
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PR0160282
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COMPLIANCE INFO_2015-2019
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Entry Properties
Last modified
9/30/2020 4:21:41 PM
Creation date
3/12/2019 8:20:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2019
RECORD_ID
PR0160282
PE
1619
FACILITY_ID
FA0002597
FACILITY_NAME
S-Mart #39
STREET_NUMBER
4725
STREET_NAME
QUAIL LAKES
STREET_TYPE
DR
City
Stockton
Zip
95207
APN
112-210-120-000
CURRENT_STATUS
01
SITE_LOCATION
4725 QUAIL LAKES DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN COU Y <br /> 'pp.. ...., cO <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �lFORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ A✓ Date: <br /> ddress: Lr.7 2 L City: 64.0 n Zip Code: 9 5 20-7 <br /> Owner/Operator: <br /> �5 �_r?S� <br /> �/-C /7't ASI "F Telephone: <br /> Program Element: / I Program Record: ID n'` 4 0.2 Inspection <br /> $y Inspection TypeK8_0Posted <br /> : /2_j <br /> Yes El Permit Posted es ❑1 Re-Inspection on or After: / <br /> IUD n CL aCe r L"s O cu+- 0-4'- 6ey-V-ri ha til <br /> 2 s Cu,s 4o ru Y 5-c L . - Sc r-e- no t- <br /> ,.-Q `vi -I- s A 11 K-en <br /> )R;?cc <br /> Y r V-2 z <br /> CA\i2 4-h s . <br /> Item/Location "� � <br /> -��e�sz���'��;a ': (t{:rn 1�,.QC��(! � Temperature <br /> k�c _? . <br /> 7 <br /> r <br /> Food Safety Gecbfiraataon Facility Hofi Water<� roper War sa' <br /> ature <br /> Name: Hand Sink. of Chlorine: ppm Heat. 'F` <br /> Exp.Date: Warewashing Sink: aF uat.Amro.: ppm Other. eF <br /> Received By/Title' <br /> EH Specialist: IOU <br /> Phone: <br /> Time in: 0Time Out: '11 31_5 <br /> 6 Page of <br /> EHD 16-24 (2n1 pg) 4/3{/13 FOOD PROGRAM OR CONTINUATION <br />
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