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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GUILD
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259
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1600 - Food Program
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PR0544352
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COMPLIANCE INFO
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Entry Properties
Last modified
5/7/2019 8:54:05 AM
Creation date
5/7/2019 8:46:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544352
PE
1681
FACILITY_ID
FA0025211
FACILITY_NAME
ATZIMBA CATERING LLC
STREET_NUMBER
259
Direction
S
STREET_NAME
GUILD
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
259 S GUILD AVE
P_LOCATION
02
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SA N A O A O U I N Environmental Health Department <br /> COUNTY— <br /> Food <br /> OUNTY • • • Production <br /> 1. indicate the location where you will 1store food and equipment at the end of the day. <br /> Commissary Name: eVA�\ V C11lei IL'CiC kf(15 Facility ID#: <br /> Address: 2S 4-i S- CA V 1 L►a 95 2 Ll a <br /> MENU DESCRIPTION <br /> Indicate all the food and beverage items for sale. WHERE WILL THE FOOD BE PREPARED? <br /> COMMISSARY ON-SITE <br /> FOOD ITEM <br /> tf F-1 <br /> 2. List equipment and utensils that will be used. Please be specific on equipment's use and function. <br /> For example: Equipment: Blender Intended use: Make Smoothies <br /> Equipment Intended use during food preparation or catering event <br /> Refrigerator <br /> 2of4 <br />
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