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COMPLIANCE INFO_2017
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MICKE GROVE
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1600 - Food Program
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PR0161935
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COMPLIANCE INFO_2017
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Last modified
4/20/2020 9:30:56 AM
Creation date
4/20/2020 9:30:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017
RECORD_ID
PR0161935
PE
1635
FACILITY_ID
FA0000284
FACILITY_NAME
FUN TOWN AT MICKE GROVE #4FU5813
STREET_NUMBER
11707
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05910002
CURRENT_STATUS
01
SITE_LOCATION
11707 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.org/ehd <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address: FUN TOWN AT MICKE GROVE #4FU5813, 11707 N MICKE GROVE RD, LODI 95240 <br />handwash -- 78.00° F <br /> 1D cooler -- 34 00° F <br />3-comp -- 78.00° F <br />NOTES <br />LIC 4FU5813 <br />Sanitizer bucket not set up. <br />Vehicle us labeled with ess of JTL Concessions, 4860 Great Basin, Roseville, but is plumbed into septic system and does not <br />appear to move from current location. Unit operates seasonally (summer and spring), and stays on site after secured during <br />winter and spring when unit is not operating. <br />OIR emailed to jtimothylake@atp.net <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 />1?-1/11)41 <br />Received by: Name and Title: raymond hernandez, raymond hernan <br />EH Specialist: JEFFREY WONG Phone: (209) 468-0335 <br />FA0000284 PR0161935 SC001 05/18/2016 <br />Page 3 of 3 Mobile Food Facility OIR END 16-23 Rev. 06/30/15
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