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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PERSHING
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5403
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1600 - Food Program
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PR0542438
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/9/2021 11:51:28 AM
Creation date
4/2/2021 2:00:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0542438
PE
1623
FACILITY_ID
FA0024390
FACILITY_NAME
FUNCTIONAL 4 NUTRITION
STREET_NUMBER
5403
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5403 N PERSHING AVE STE 10
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SAN J OAQ I I I N Environmental Health Department <br /> COUNTY IV <br /> `��,F❑ Greotness grows here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: MONUTRITION, 5403 N PERSHING AVE , STOCKTON 95207 <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: Monique Valenzuela, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0024390 SR0084496 SC061 11/22/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />
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