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COMPLIANCE INFO_2016-2017
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CALIFORNIA
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1600 - Food Program
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PR0535834
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COMPLIANCE INFO_2016-2017
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Last modified
9/16/2020 8:38:44 AM
Creation date
9/16/2020 8:29:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2017
RECORD_ID
PR0535834
PE
1633
FACILITY_ID
FA0015537
FACILITY_NAME
URBANO FAMILY #4KK9311 & #4DA6178
STREET_NUMBER
730
Direction
S
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14723003
CURRENT_STATUS
02
SITE_LOCATION
730 S CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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JCastaneda
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EHD - Public
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SAN JOAQUIN COU= <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • ., ;� i eiephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.slaov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ; Date: <br /> Address: Q City: Zip Code: z a <br /> Owner/Operator: Telephone: <br /> Program Element: Pro7am Recor • w2t <br /> O ,►� Inspection Type: t�F <br /> '7 ' <br /> �S9180 Posted Yes o Permit Posted es No Re-Inspection on or After: 1 rt 5_-,9 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> au S on q <br /> w \ 11 <br /> C + 1 r <br /> f 1 <br /> AA <br /> - X vll' <br /> 1 <br /> VIV- <br /> ^ 1 0 <br /> <JX rQ _ ,'lf1 �;6144'+o"r— 12�&r 14_0 1--_ <br /> 42 ' � P <br /> r <br /> e <br /> Item/Location ' FTemperature Item/Location i'Temperature <br /> I <br /> Food Safety Certification Facility Hot Water Temperature�� -'y--�1(Varewashing v <br /> 1"- .....__ <br /> Name: �i ` ;� ������� Hand Sink: —� `F Chlorine. ppm Heat: F <br /> c� - <br /> Exp. Date: Warewashing Si k: �? F IlQuat. Amm.: ppm Other: of <br /> Received By/Title: CA <br /> y <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> • L.J <br /> EHD 16-24 (2^^pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br /> �'iGlc✓p;�Go-n! <br />
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