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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0507997
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COMPLIANCE INFO_2021
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Last modified
3/19/2021 10:37:55 AM
Creation date
3/19/2021 10:29:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0507997
PE
1626
FACILITY_ID
FA0007873
FACILITY_NAME
Mountain Mike's Pizza
STREET_NUMBER
728
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
728 W Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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S A N J a A Q U I N Environmental Health Department <br /> COUNTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: Mountain Mike's Pizza, 728 W Kettleman Ln, 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 will be assessed at the current hourly rate. <br /> Received by: Name and Title: Harman, manager, sig not captured <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0007873 PR0507997 SCO01 03/17/2021 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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