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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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PR0519217
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/8/2020 9:23:39 AM
Creation date
12/8/2020 9:22:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0519217
PE
1635
FACILITY_ID
FA0016578
FACILITY_NAME
LA BOHEMIA #5H79999
STREET_NUMBER
731
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04524011
CURRENT_STATUS
01
SITE_LOCATION
731 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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i ,71e,d O A Q U I iII4,i1, Environmental Health Department <br /> —IhCOU NTS <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: LA BOHEMIA #51-179999, 731 S SACRAMENTO ST, LODI 95240 <br /> carnitas--41.00°F beans--44.00°F <br /> pastor--44.00°F reach-in--44.00°F <br /> steam table--155.00°F <br /> NOTES <br /> License plate#5H79999 <br /> chlorine 200 ppm/ test strips needed <br /> OK to permit for 2021 once the annual permit fee is paid. <br /> No signature obtained/COVID-19 <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: Discussed w/Mgr Jose Hernandez, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0016578 PR0519217 SCO01 12/08/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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