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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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117
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1600 - Food Program
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PR0161480
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/19/2024 10:19:34 AM
Creation date
8/13/2020 3:37:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0161480
PE
1623
FACILITY_ID
FA0003130
FACILITY_NAME
BILLS LOUNGE INC
STREET_NUMBER
117
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23311610
CURRENT_STATUS
01
SITE_LOCATION
117 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SA N A O A Un U I N Environmental Health Department <br /> —COUNTY— <br /> • • • Production <br /> 1. Indicatethelocation where you will store food and equipment at the end of the day. I� <br /> Commissary Name: L/f (3\4,U-\(3\4,U-\ Afv'C7W stak DD Facility ID#: 000 3%3V <br /> Address: S f e_41_' I ecLj C <br /> MENU DESCRIPTION <br /> Indicate all the food and beverage items for sale. WHERE WILL THE FOOD BE PREPARED? <br /> COMMISSARY ON-SITE <br /> FOOD ITEM <br /> —To)o) ric75 E <br /> El <br /> Cr1(� �T 1 — HIQf I GYl ,^ GV)� GK VyG Dmion 6nis <br /> VIII SGndrilf�v� - �iC.ken fs PorIL <br /> �lc�en Win S El E4L <br /> &4FVCC`S Sunc�Yv+Gh . El 1�1- <br /> 2. List equipment and utensils that will be used. Please be specific on equipment's use and function. <br /> r <br /> For example: Equipment: Blender Intended use: Make Smoothies <br /> Equipment Intended use during food preparation or catering event <br /> Refrigerator <br /> DUN woA ,�kM5 \ Vc �rd �, S eAt <br /> k <br /> \N ," YAP tJ gems -4- P(tvtr m <br /> n \�CYns \�� <br /> G� auk Kty r -ern s . <br /> G on VvN r `_- I <br /> X Zen • to 7X U� Q��n W�I!n (A VC V4 X WG�( II►��(Al e <br /> 2o(4 <br />
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