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COMPLIANCE INFO_2020
EnvironmentalHealth
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1600 - Food Program
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PR0544816
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
4/16/2020 3:20:28 PM
Creation date
4/16/2020 3:19:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0544816
PE
1635
FACILITY_ID
FA0025466
FACILITY_NAME
LA CABANA #4FJ6334
STREET_NUMBER
201
STREET_NAME
PRIMO
STREET_TYPE
WAY
City
MODESTO
Zip
95351
CURRENT_STATUS
01
SITE_LOCATION
201 PRIMO WAY
P_LOCATION
98
QC Status
Approved
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EHD - Public
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SAN JOAQUIN <br /> Environmental Health Department <br />---COUN TY— <br />Greotness 9rows here. <br />Mobile Food Facility Service Request Inspection Report <br />Facility Name and Address: , 500 SEVENTH ST , MODESTO <br />NOTES <br />Trailer reactivation. <br />VIN# 4RWUF24245N029283 <br />LIC# 4FJ6334 <br />operator will be cooking in the commissary and the food will be kept on the trailer hot hold. <br />The smoker and the grill outside can't be used with this permit. <br />Bleach is available. <br />Okay to issue permit for 2020 once fee is paid. <br />PE 1635 $237 to be paid for the new permit. <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 Safet <br />Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: Raymond Guevara, Owner <br />EH Specialist: GEHANE FAHMY Phone: (209) 953-7698 <br />SR0081967 SC061 04/16/2020 <br />Page 2 of 2 Mobile Food Facility Service Request Inspection Report EHD 16-23 Rev. 06/30/15
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