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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HAM
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1600 - Food Program
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PR0160225
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COMPLIANCE INFO_2021
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Last modified
10/6/2021 11:50:36 AM
Creation date
4/14/2021 4:55:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160225
PE
1632
FACILITY_ID
FA0000167
FACILITY_NAME
LODI USD-LAKEWOOD SCHOOL
STREET_NUMBER
1100
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03910012
CURRENT_STATUS
01
SITE_LOCATION
1100 N HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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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 /> — <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LODI USD-LAKEWOOD SCHOOL, 1100 N HAM 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: Tammy Archer, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0000167 PRO160225 SC101 04/06/2021 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 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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