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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0506206
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/11/2022 1:01:55 PM
Creation date
5/6/2021 3:34:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0506206
PE
1625
FACILITY_ID
FA0007274
FACILITY_NAME
FARMERBOYS #1088
STREET_NUMBER
2312
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
05814048
CURRENT_STATUS
01
SITE_LOCATION
2312 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN J O ilil U I Environmental Health Department <br /> C0 U F1T <br /> Food Program Complaint Inspection Report <br /> Facility Name and Address: FARMERBOYS#1088, 2312 W KETTLEMAN LN, LODI 95242 <br /> Signature not captured due to COVID <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: Noriko Montgomery, Person In Charg <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0007274 C00053718 SCO04 04/22/2021 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Complaint Inspection Report <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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