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COMPLIANCE INFO_2019
EnvironmentalHealth
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1600 - Food Program
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PR0542555
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COMPLIANCE INFO_2019
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Last modified
4/22/2020 8:41:37 AM
Creation date
4/22/2020 8:41:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0542555
PE
1636
FACILITY_ID
FA0018421
FACILITY_NAME
RAINBOW SALES #DP541FA
STREET_NUMBER
1040
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
04
SITE_LOCATION
1040 W KETTLEMAN LN # 364
P_LOCATION
98
QC Status
Approved
Scanner
SShih
Tags
EHD - Public
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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Mobile Food Facility Service Request Inspection Report <br />Facility Name and Address: RAINBOW SALES #6DP541FA, 1040W KETTLEMAN LN , LODI 95240 <br />Ok to issue the permit for 2018. Fee waived as for military veterans. <br />PE 1636 <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: David C.E. Gronseth, Owner <br />EH Specialist: GEHANE FAHMY Phone: (209) 953-7698 <br />FA0018421 SR0078750 SC061 02/15/2018 <br />Page 2 of 2 Mobile Food Facility Service Request Inspection Report EHD 16-23 Rev 06/30/15
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