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COMPLIANCE INFO_COMPLIANCE INFO 2020
EnvironmentalHealth
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1600 - Food Program
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PR0507811
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Entry Properties
Last modified
5/22/2020 2:47:01 PM
Creation date
4/15/2020 9:21:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0507811
PE
1623
FACILITY_ID
FA0007772
FACILITY_NAME
NIXON'S DELI
STREET_NUMBER
1040
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06004019
CURRENT_STATUS
02
SITE_LOCATION
1040 W KETTLEMAN LN STE 6
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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JCastaneda
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EHD - Public
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q�tN San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> Ridvi <br /> Food Program Official Inspection Report <br /> Facility Name and Address: NIXON'S DELI, 1040 W KETTLEMAN LN, LODI 95240 <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 /> Received by: Name and Title: Jeremy, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209) 468-9851 <br /> FA0007772 PR0507811 SCO01 01/05/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />
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