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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2429
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1600 - Food Program
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PR0521296
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Entry Properties
Last modified
5/22/2020 4:09:45 PM
Creation date
7/19/2019 2:09:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0521296
PE
1620
FACILITY_ID
FA0014477
FACILITY_NAME
Marshalls 0381
STREET_NUMBER
2429
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2429 W Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Pquin� San Joaquin County <br /> a. Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., ;a• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �rFORN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: Marshalls 0381, 2429 W Kettleman Ln, LODI 95242 <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: Cesar Fajardo, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0014477 PR0521296 SCO01 07/31/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />
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