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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MOFFAT
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1600 - Food Program
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PR0360446
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COMPLIANCE INFO_2021
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Last modified
7/22/2021 3:19:58 PM
Creation date
7/22/2021 3:19:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0360446
PE
3611
FACILITY_ID
FA0001298
FACILITY_NAME
SHADY GROVE MOBILE HOME PARK
STREET_NUMBER
555
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95336
APN
22104040
CURRENT_STATUS
01
SITE_LOCATION
555 MOFFAT BLVD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: SHADY GROVE MOBILE HOME PARK, 555 MOFFAT BLVD, MANTECA 95336 <br />Swimming Pool Official Inspection Report <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: <br />EH Specialist:Phone:(209) 616-3052 <br />, <br />GEHANE FAHMY <br />Page 2 of 2EHD 36-01 Rev. 09/16/2020 Swimming Pool OIR <br />FA0001298 PR0360446 SC001 07/22/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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