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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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PR0540509
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
4/17/2020 4:05:29 PM
Creation date
4/17/2020 4:05:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0540509
PE
1636
FACILITY_ID
FA0020682
FACILITY_NAME
JOHNSON, RONALD #DP442KH
STREET_NUMBER
338
Direction
W
STREET_NAME
HIGHLAND
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
10816001
CURRENT_STATUS
01
SITE_LOCATION
338 W HIGHLAND AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SShih
Tags
EHD - Public
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Temperature Item / Location Item/Location Temperature <br />(9 CM r-r_en+- 4e6i ,Orn +- s rth ocSti-e. 146 n n <br />a CoN s)-k-e kl -times <br />" IteAn (-AA eN)( <br />Time in: \ 0 ( <br />Received By / Title: <br />EH Specialist: Phone: 2_0(1 ifilt)q) <br />Time Out: 0 • -2_cp Page <br />FOOD PROGRAM OIR CONTINUATION EHD 16-24 (2nd pg) 4/3/13 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />IA ct,11-e-h° 90,r6P- fg 'oak- cfn OV &C c-51V-keS <br />h'- \-)61 -\-Wr2VI Vigo\tiae <br />+e) Tc5"-NAV- F-ecTh -s---zoo <br />atel-e-c -c-e-•2 ace \xA) - <br />Facility Hot Water Temperature Warewashing <br />Hand Sink: °F Chlorine: PPm Heat: <br />Warewashing Sink: °F Quat. Amm.: ppm Other: <br />Food Safety Certification <br />Name: <br />Exp. Date: <br />SAN JOAQUIN COL ;1' <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: , Oho r,on i yo-pco r2 # v) v zi.A --2 4\__ Date: 1124/11— <br />Address: <br />/%' <br />- <br />\N - Ah <br />t ord rc‘ie City: t <br />t, Zip Code: 4c5,2,1-co t ci ( ,\_1 <br />Owner/Operator: <br />FUrCIACI C c) -001' <br />Telephone: 510 —304-402,Z <br />Program Element: \ (.0-2ja Program Record: 05o 61 <br />Inspection Type: tit-rk e, <br />_ — SB180 Posted Yes <br />74 <br />No Permit Posted Yes o , <br />—I <br />Re-Inspection on or After:
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