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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0503480
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COMPLIANCE INFO_2020
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Last modified
10/8/2020 3:27:28 PM
Creation date
9/10/2020 3:22:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0503480
PE
1632
FACILITY_ID
FA0005861
FACILITY_NAME
MUSD-BROCK ELLIOTT K-8
STREET_NUMBER
1110
STREET_NAME
STONUM
STREET_TYPE
LN
City
MANTECA
Zip
95336
APN
22230001
CURRENT_STATUS
01
SITE_LOCATION
1110 STONUM LN
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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S A I D J O M Q V I N Environmental Health Department <br /> COU N7Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: MUSD-BROCK ELLIOTT K-8, 1110 STONUM LN, MANTECA 95336 <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: Angie Pollard, Cafeteria lead <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0005861 PR0503480 SC101 03/10/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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