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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0539463
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/30/2020 7:52:58 AM
Creation date
4/3/2020 8:40:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0539463
PE
1624
FACILITY_ID
FA0022562
FACILITY_NAME
DOMINOS
STREET_NUMBER
107
Direction
W
STREET_NAME
NORTH
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21723311
CURRENT_STATUS
01
SITE_LOCATION
107 W NORTH ST STE 10
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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S A I D J O M Q V I N Environmental Health Department <br /> COU N7Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DOMINOS, 107 W NORTH ST, MANTECA 95336 <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 /> bt)� 0\'�k �jk 16f, <br /> Received by: Name and Title: Victor, Person in charge <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0022562 PR0539463 SCO01 02/27/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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