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COMPLIANCE INFO_2016-2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161905
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COMPLIANCE INFO_2016-2019
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Entry Properties
Last modified
12/16/2020 2:59:29 PM
Creation date
3/12/2019 8:46:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2019
RECORD_ID
PR0161905
PE
1618
FACILITY_ID
FA0001108
FACILITY_NAME
GROCERY OUTLET
STREET_NUMBER
1060
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11735002
CURRENT_STATUS
01
SITE_LOCATION
1060 N WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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JCastaneda
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EHD - Public
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SAN JOAQUIN COUNTY, <br /> ?+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web_www.smqov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: CnRCU [jut Date: ��� <br /> ddress: r f �j 1'� City' �� Zip Code: �1 qS <br /> Owner/Operator: Y1 PMTbCT) w� Telephone: �`y <br /> Program Element: ` 1 Progratri Record: �� y c inspection Type: <br /> Bt80 Posted Yes 0 iRermit Posted Yes ❑ 1 Re-Inspection on or After: Z <br /> 1 .fie ►u, '�'\d l` 6-V Cn Li h <br /> 'iMw P <br /> o'(- mo m 11 z CAA 4- -ala - <br /> UM al� - r a u.C� re In 11�1� S <br /> n o <br /> - 1Cz pill �aP � wiT�iih "�� c.ccr, CG�-retJ- tack <br /> XTZ <br /> CA+ 4 _� - <br /> CA- <br /> tenitmcnn- eta to ,i Terriperatne <br /> Name: Hand Sink: 100 °F Chlorine: ,gHeat: "F <br /> Exp.Date: arewashing Sink: of Quat.Amm.- Other: of <br /> Received By 1 Title <br /> EH Specialist: �" Phone: ¢SCG yJ � <br /> Time in: :GU - - Time Out: �� 1 — Page2nf 2— <br /> EHD 16-24 (21'pg) 4013 FOOD PROGRAM OIR CONTINJATION <br />
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