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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0539300
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COMPLIANCE INFO
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Entry Properties
Last modified
10/28/2020 2:44:04 PM
Creation date
10/28/2020 2:43:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0539300
PE
1633
FACILITY_ID
FA0022471
FACILITY_NAME
NO KA 'OI SHAVED ICE #49278U1
STREET_NUMBER
1717
Direction
S
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16904012
CURRENT_STATUS
02
SITE_LOCATION
1717 S UNION ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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>4^ �A San Joaquin County <br /> o- 2< Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> .. ca Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: NO KA'OI SHAVED ICE#492781.11, 1717 S UNION ST, STOCKTON 95206 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(CD: ppm Heat: °F Water/Hot Water Ware Sink Temp 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 100°F <br /> FOODITEM--LOCATION --TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Ok to issue permit for 2016 <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: *—,g-,JV Name and Title: Heidi Bato, Owner <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> FA0022471 PRO539300 SCO01 02/26/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility OIR <br />
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