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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0163178
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COMPLIANCE INFO
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Entry Properties
Last modified
5/29/2020 3:16:35 PM
Creation date
9/26/2019 3:18:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0163178
PE
1625
FACILITY_ID
FA0000157
FACILITY_NAME
JACK IN THE BOX #588
STREET_NUMBER
100
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19821016
CURRENT_STATUS
01
SITE_LOCATION
100 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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UV if <br /> SAN JOAQUIN COUNTY <br /> 2: --cry. •GZ <br /> j ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> C'q'LfFOR�P. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: DATE: <br /> Jack In The Box#558 13-5-15 <br /> ADDRESS: CITY: ZIP CODE: <br /> 100 E Louise Lathrop 95330 <br /> OWNER/OPERATOR: TELEPHONE#: <br /> Anil Yadav <br /> RECORD <br /> TYPE OF INSPECTION: ® COMPLAINT L1PR <br /> CONSULTATION ❑ OTHER G <br /> ID#: C00039303 ELEMENT:OGRAM 1 VOO <br /> Complaint states-Found a piece of bone which looks like a small tooth from a mouse. Complainant <br /> purchased 2 beef tacos and consumed them at the restaurant. Complainant showed an employee <br /> and the employee said it was a piece of rice. <br /> Site visit-Manager was not aware of complaint. Beef tacos come per-assembled and are fried on <br /> site. Opened and dismantled one taco and no white or hard substances observed. No rodent signs <br /> in facility. <br /> INSPECTED B . e a NISSIm (209)_4Q,8-3168 i TIME 1:17pm I OUT: <br /> TIME <br /> 1:40pm <br /> RECEIVED BY. 9, DATE: <br /> Pagel <br /> EHD 48-05 Rev.02112/15 INSPECTION REPORT <br />
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