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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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4130
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1600 - Food Program
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PR0523185
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COMPLIANCE INFO
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Entry Properties
Last modified
4/23/2020 3:23:14 PM
Creation date
4/1/2019 9:40:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0523185
PE
1624
FACILITY_ID
FA0015655
FACILITY_NAME
CALIFORNIA DONUTS & DELI
STREET_NUMBER
4130
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
11518110
CURRENT_STATUS
01
SITE_LOCATION
4130 N EL DORADO ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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of`.gkwIV' C, SAN JOAQUIN COUI�( <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq.. ;P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sagov.org/ehd <br /> ��FOR�1 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L_ 6 C1,6/i` �'�� Date: 3 c 3 <br /> Address: A adlP City: Zip Code: <br /> Owner/Operator. /f f/ uc l� Telephone: <br /> Program Element: Z Program cord: D Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> t1rhK <br /> ehA Id 7n <br /> Food Safety Certification Fac4hy Hot Water Temperatur'es Warewashing <br /> Name: j �, ;f ;/,, ' r Hand Sink: -F Chlorine: ppm Heat: -F <br /> Exp.Date: 12-- <br /> � i i Warewashing Sink: C aF Quat.Amm.: ppm Other: of <br /> Received By/Title. <br /> EH Specialist: l' Phone: C <br /> J <br /> Time in: (�n Time Out: Pagezof Z_ <br /> EHD 16-24 (2nd pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />
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