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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EIGHT MILE
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11530
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1600 - Food Program
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PR0536595
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COMPLIANCE INFO
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Entry Properties
Last modified
1/9/2020 11:13:23 AM
Creation date
7/12/2019 2:00:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536595
PE
1617
FACILITY_ID
FA0021010
FACILITY_NAME
COCOS BAIT, TACKLE & DELI
STREET_NUMBER
11530
Direction
W
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
07119006
CURRENT_STATUS
02
SITE_LOCATION
11530 W EIGHT MILE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN J OAQ I I I N Environmental Health Department <br /> COUNTY IV <br /> `��,F❑ Greotness grows here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: KING ISLAND CAFE, 11530 W EIGHT MILE RD , STOCKTON 95219 <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Charles Spurlock, owner <br /> EH Specialist: VIDAL PEDRAZA Phone: (209)468-0334 <br /> FA0021010 SR0080713 SC523 10/07/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />
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