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COMPLIANCE INFO_2019
EnvironmentalHealth
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PR0540650
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COMPLIANCE INFO_2019
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Last modified
4/23/2020 4:04:32 PM
Creation date
4/23/2020 4:03:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0540650
PE
1635
FACILITY_ID
FA0023247
FACILITY_NAME
TAQUERIA COSTA GRANDE #98535W1
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN <br /> Environmental Health Department <br />CfluNi <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address: TAQUERIA COSTA GRANDE 4)8535W1, 1301 S SACRAMENTO ST, LODI 95240 <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 /> <br />Name and Title: Dalia Villegas Mendoza, owner <br /> <br />EH Specialist: KADEANNE LINHARES Phone: (209) 468-0330 <br />FA0023247 PR0540650 S0001 12/31/2019 <br />EHD 16-23 Rev 06/30/15 <br /> Page 2 of 2 Mobile Food Facility OIR <br />1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com
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