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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0544593
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COMPLIANCE INFO_2019
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Last modified
1/7/2021 2:48:35 PM
Creation date
1/7/2021 2:47:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0544593
PE
1635
FACILITY_ID
FA0025345
FACILITY_NAME
MARISCOS EL TATA #4LE1784
STREET_NUMBER
1301
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04529028
CURRENT_STATUS
02
SITE_LOCATION
1301 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOAQUIN <br /> Environmental Health Department <br />--COUNTY <br />(rr <br />nalS=ox,_ rice s s yrovrc <br />Mobile Food Facility Service Request Inspection Report <br />Facility Name and Address: MARISCOS EL TATA ALE1784, 1301 S SACRAMENTO ST, LODI <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: yurissa cota, owner <br />EH Specialist: SCOTT SANGALANG Phone: (209) 468-3452 <br />SR0080787 SC061 06/21/2019 <br />Page 3 of 3 Mobile Food Facility Service Request Inspection Report EHD 16-23 Rev. 06/30/15
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