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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PERSHING
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4555
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1600 - Food Program
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PR0160551
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COMPLIANCE INFO
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Entry Properties
Last modified
7/1/2020 10:38:02 AM
Creation date
7/1/2020 10:36:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160551
PE
1626
FACILITY_ID
FA0002529
FACILITY_NAME
IN-SHAPE / MARCH LN
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017001
CURRENT_STATUS
02
SITE_LOCATION
4555 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNT <br /> N: X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> c•., ip Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> 4Cji;Dµia <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: JOJ7n5 Date: q- 13-11 <br /> Address: ss City: �n Zip Code: 9 5'Lo <br /> Owner/Operator: h n o f Telephone: 952-6:53'jjQ 7 <br /> Program Element: &� Program Record: PA .016,0 66 / Inspection Type: <br /> SB180 Posted, Yes L1No Permit Posted Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> G rig qe <br /> LJ <br /> Li <br /> GO-7 <br /> Ae- <br /> r / bt/- Lp- � -50 r A4 r <br /> Li <br /> Item/Location Temperature Item/Location Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Qhjo`ine:./ ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: 7T <br /> EH Specialist: Phon : <br /> Time in: ' Time Out: oZ, Q Paget of <br /> EHD 16-24 (2nd pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />
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