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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0539652
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
4/6/2020 1:55:18 PM
Creation date
4/6/2020 1:50:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0539652
PE
1636
FACILITY_ID
FA0015867
FACILITY_NAME
PERALTA PRODUCE #5B41758
STREET_NUMBER
2404
Direction
E
STREET_NAME
ACACIA
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14125020
CURRENT_STATUS
01
SITE_LOCATION
2404 E ACACIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY <br /> Z, ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s'gov.org/ehd <br /> �i FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: v Date: IZ b <br /> Address: V- L a(Al City: S�U14 Zip Code: CI <br /> Owner/Operator: - � Telephone: <br /> U cwt u <br /> Program Element: Program Re rd: Uy 5`I tit Inspection Type: <br /> SB180 Posted Yes Permit Posted es) No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> '1- <br /> vw <br /> Item/Location Temperature Item t Location Temperature <br /> - -------- — -.... <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: 'F <br /> Exp. Date: arewashing Sink: �F Quat. Amm': ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out <br /> \o • : tVti �1 V Page of <br /> '-.4 �nw. l 1 <br /> EHD 16-24 (2nd pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />
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