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COMPLIANCE INFO_2017-2019
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PR0522559
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COMPLIANCE INFO_2017-2019
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Entry Properties
Last modified
12/31/2020 11:21:20 AM
Creation date
12/31/2020 11:16:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-2019
RECORD_ID
PR0522559
PE
1635
FACILITY_ID
FA0015369
FACILITY_NAME
TAQUERIA COSTA GRANDE #4D25755
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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op4fffry. San Joaquin County <br /> Environmental Health Department <br /> " 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjoov.oro/ehd <br /> 4C%FGRN\ <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: LA FONDITA #4D25755, 1301 S SACRAMENTO ST, LODI 95240 <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 <br /> nwill <br /> lbbe assessed at the current hourly rate. <br /> Received by: Name and Title: Ruth Martinez, Operator <br /> EH Specialist: NICHOLAS WIESEMAN Phone: (209) 468-3445 <br /> FA0016369 PRO522559 SCOW 12/08/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility OIR <br />
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