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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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13517
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1600 - Food Program
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PR0161926
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
11/20/2024 9:21:34 AM
Creation date
3/21/2019 11:06:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0161926
PE
1617
FACILITY_ID
FA0000052
FACILITY_NAME
TOWN & COUNTRY LIQUOR
STREET_NUMBER
13517
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
APN
01909055
CURRENT_STATUS
01
SITE_LOCATION
13517 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOA0UIN COU i( <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> F6aa�P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.si4ov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ; �� C� ��L� ZLj�/ Date: <br /> Address: , i Ci . Zip Code: <br /> Owner/Operator: ('_ Telephone: <br /> Program Element: ro r Record: Inspection Type: <br /> SS180 Posted es o Permit Poste Yes No Re-Inspection on or After: <br /> WNW" OBSERVATIONS;AND CORRECTIVE,ACTIONS. <br /> a <br /> _. .._......................._....... --- <br /> xl(jvul -- -�- <br /> X,I( . <br /> UM4AIM JJ G — t+IwWh ► yz �y <br /> wlt'iA I ✓lt <br /> V ` <br /> V <br /> w ...-__ <br /> item/Location Temperature Item/Location ,„ '` Teroperature <br /> V r L= c.� � i <br /> V <br /> Ili�tGUV ^Gtj j k R , l Z) <br /> Food Safety Certification Facility Hat Water Temperature „ Warewashing <br /> .. <br /> Name: Hand Sink: - °F 'Chlorine: Ppm Heat: `F <br /> Exp.Date: arewashing Sink: I -F Ouat.Amm.: Ppm Other: -F <br /> a <br /> Received By/Title Z <br /> EH Specialist: r ? Phone: <br /> Time in: f I Time Out: r] p, Paggof <br /> EHD 16-24 (2nd pg) 4013 CTI! FOOD PROGRAM OIR CONTINUATION <br />
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