My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2019
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
CALIFORNIA
>
730
>
1600 - Food Program
>
PR0504903
>
COMPLIANCE INFO_2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/9/2020 10:43:14 AM
Creation date
4/9/2020 10:40:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0504903
PE
1635
FACILITY_ID
FA0006396
FACILITY_NAME
TACOS AUTLESE #1X95456
STREET_NUMBER
730
Direction
S
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14723003
CURRENT_STATUS
01
SITE_LOCATION
730 S CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SShih
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
17
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
VERIFICA ION OF RESTROOM ACILITY <br /> Please provide all information requested. <br /> .VtEC :E I rOR1VI~A. :. ,;"s <br /> Vehicle Name(DBA): IT <br /> Address for Vehicle: ��� <br /> Street Address City Zip <br /> 1) License Plate#: 1; 4) Year: 9 <br /> 2) Vehicle Vin#: 5) Make/Model: C =t}if V <br /> 3) State Decal#: 6) Color: +I � Y U-Z <br /> VEHICLE OWNER INFORMATION <br /> Name: t <br /> �7—c \ ' r <br /> Address of Owner: 1 1 <br /> Street Address City Zip <br /> Mobile food facilities shall be operated within 200 feet of approved and readily available toilet and hand <br /> washing facilities. This is to ensure restroom facilities are available to employees whenever the mobile <br /> food facility is stopped to conduct business (CalCode section 114315). <br /> I have access to the restroom facilities at the following business during my business hours and I am <br /> parked less than 200 feet away from the restroom facilities. I will be responsible for maintaining the <br /> restroom in a clean and sanitary condition. <br /> '�Lr r-e-S�' ' �I <br /> Signature of Vehicle Qperator Date <br /> RESTROOM INFORMATION <br /> Business Name: <br /> Owner Name: <br /> Site Address: — S <br /> Street Address city V Zip <br /> Phone:`9 — LlLvlo <br /> I, the business owner/operator, can and will provide the necessary restroom facilities for the operators of <br /> the above-mentioned vehicle at my business and I understand that the restroom facilities are subject to <br /> Environmental Health Department inspection. <br /> 40N�c A Q <br /> Signature Business owne erator Date <br /> RECEIVED <br /> MAR Z 1 2919 <br /> ENVIRONMENTAL HEALTH <br /> PE_R,'XT/SERVCES <br /> EHD 16-013 Page 9 of 9 MFF APPLICATION <br /> 8/17/2007 <br />
The URL can be used to link to this page
Your browser does not support the video tag.