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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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PR0537084
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COMPLIANCE INFO_2019
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Last modified
4/23/2020 1:46:15 PM
Creation date
4/23/2020 1:45:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0537084
PE
1636
FACILITY_ID
FA0014822
FACILITY_NAME
JAIME PRODUCE #2L18647
STREET_NUMBER
1006
Direction
S
STREET_NAME
WAGNER
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
15909040
CURRENT_STATUS
01
SITE_LOCATION
1006 S WAGNER AVE
P_LOCATION
01
QC Status
Approved
Scanner
SShih
Tags
EHD - Public
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SAN JOAQUIN COL Y <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Ilyet.4.r n_e_ '4,0 du ex__ Date: /a__ 7 .14,, <br />Address: /c o& 6 co4,1,7r, 7 /1,7, City: ..5-../vc.A. 40 ,i Zip Code: q 52.1_5 <br />Owner/Operator: e tr ' Telephone: 9 a a ,36:yak,. <br /> <br />,"'zii 413 i ,ti e 1 "":0--t1)-z_e_ <br />Program Element: At, 36, Program ecord: pp ps 8 902 Inspection Typerko IP I on rz_e <br />SB180 Posted ey::). No Permit Posted/) No Re-Inspection on or After: <br />To Life (Amehs <br />.20 7 0 - K t-sso-e_ <br />Name: Heat: °F PPm <br />Ouat. Amm.: Other: °F PPm <br />hlonne. <br />Exp. Date: <br />I[and Sink: <br />1 Warewashing Sink: <br />Temperature Item/Location Temperature Item / Location <br />Food Safety Certification 7-TaCiiTty Hot Water Temperature Warewashing <br />Received By / Title: <br />EH Specialist: <br />Time in: y <br />EHD 16-24 (2^, pg) 4/3/13 <br />Phone: <br />Time Out: 8. I 0 Paget of <br />FOOD PROGRAM OIR CONTINUATION
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