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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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PR0516368
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COMPLIANCE INFO_2018
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Last modified
11/3/2020 8:57:38 AM
Creation date
4/20/2020 2:01:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0516368
PE
1635
FACILITY_ID
FA0012580
FACILITY_NAME
LA SUPERIOR #1 (#1J94261)
STREET_NUMBER
731
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04524011
CURRENT_STATUS
01
SITE_LOCATION
731 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAOU IN couN <br />Environmental Health Department <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address: LA SUPERIOR #1 (#1J94261), 731 S SACRAMENTO ST, LODI 95240 <br />Steam table-- 185.00° F 2 door Blue Air cooler-- 40.00° F <br />NOTES <br />Lic # 1J94261 <br />Ok to issue the 2018 permit once the fee is paid. <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: <br />e94_,C4r. <br />Name and Title: Pablo Ochoa, Owner <br /> <br />EH Specialist: GEHANE FAHMY Phone: (209) 953-7698 <br />FA0012580 PR0516368 SC001 01/10/2018 <br />EHD 16-23 Rev. 06/30/15 Page 2 of 2 Mobile Food Facility OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com
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