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COMPLIANCE INFO_2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0540337
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COMPLIANCE INFO_2018
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Last modified
2/22/2021 5:06:23 PM
Creation date
4/10/2020 1:39:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0540337
PE
1634
FACILITY_ID
FA0023060
FACILITY_NAME
PALETERIA UNICA #3XPZ937
STREET_NUMBER
3588
Direction
E
STREET_NAME
CARPENTER
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
17916045
CURRENT_STATUS
02
SITE_LOCATION
3588 E CARPENTER RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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oAQuly c <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> � FOR <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE` DATE: <br /> CU Iit e i IV 23, 2015 <br /> ADDRESS: CITY: ZIP CODE: <br /> 3588 E Carpenter Stockton <br /> OWNER/OPERATOR: TELEPHONE#: <br /> Jaime Zavala <br /> TYPE OF INSPECTION: ❑ COMPLAINT ® CONSULTATION L3OTHER RECORD PROGRAM <br /> ID#: ELEMENT: 1 634 <br /> SR72731 <br /> License # 3xpz937 <br /> Vin # 1 fbjs31 g9tha85572 <br /> This permit is for prepackaged food (including ice cream) <br /> 1. Provide the name of the owner of both sides of the vehicle. Correct prior to operating the <br /> business. <br /> Freezer must maintain 10 F <br /> Ok to issue permit. Obtain permit prior to operating the business. <br /> TIME <br /> INSPECTED BY: Vidal Pedraza 209-468-0334 i IME 2:10 ;OUT 2:35 <br /> RECEIVED BY: DATE: —7/Z ) <br /> Pagel <br /> EHD 48-05 Rev.02/12/15 INSPECTION REPORT <br />
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