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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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1600 - Food Program
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PR0528275
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COMPLIANCE INFO
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Entry Properties
Last modified
11/19/2024 10:21:07 AM
Creation date
5/21/2019 1:46:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0528275
PE
1624
FACILITY_ID
FA0019114
FACILITY_NAME
ASIAN-CAJAN CRAWFISH
STREET_NUMBER
95
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23313027
CURRENT_STATUS
02
SITE_LOCATION
95 W 11TH ST STE 103
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOA UIN COONTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON, CA 95202-3029 <br /> TELEPHONE:(209)468-3420 FAX:(209)464-0138 WEB:WWW.SJGOV.ORG/EHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> oto 7"7 pR/ Date: /8. <br /> Address: ` S 40 �++5 7-- City: Rey Zip Code: �5 7 <br /> Owner/Operator: ` vI Quo 200 Telephon <br /> sa ;?,,-/- <br /> Program Element: 1&0 1 <br /> Program Record: SQA S 3 oyZ Inspection Type: P�,� e'W <br /> SB180 Posted lGo Permit Posted -Ye ---1 of d / Reinspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I$AV 9 - #pj K L-eSS r1 C/Y,4 S 4 PAtEs �./ ��1 AW 0j14. 6e <br /> O <br /> IVD Sf �Cv L. iND S f <br /> cpw&6iR To 1•7.RN 7'0 6CXPE. I'l�l/��ti SD's 7a/u <br /> /9y c r Cc -:a4tr Ai&w ft 1, /9xt� <br /> Gw�Vf 2 <br /> OK ?s --1 S 5 uc fE2ra t— eAA:E //-Al- f�/d <br /> Item I Location Temperature Item/Location Temperature Item/Location Temperature <br /> s(p5g tog <br /> Z*P4G* FRU <br /> - <br /> M f P <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: OF Chlorine: ppm 11 Heat: OF <br /> SC C►I o /Y)I __ <br /> Exp.Date: �, -C) rewashing Sink: of Quat.Amm.: ppm Other: OF <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: w Time Out: ' Page, of/ <br /> EHD 16-23 (2nd pg) FOOD PROGRAM OR <br /> 05/15/08 <br />
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