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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0160193
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COMPLIANCE INFO_2021
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Last modified
8/17/2021 10:55:15 AM
Creation date
8/17/2021 10:54:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160193
PE
1620
FACILITY_ID
FA0002533
FACILITY_NAME
LINCOLN VILLAGE HOA #6
STREET_NUMBER
6725
STREET_NAME
CUMBERLAND
STREET_TYPE
PL
City
STOCKTON
Zip
95209
APN
09811003
CURRENT_STATUS
01
SITE_LOCATION
6725 CUMBERLAND PL
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SAN J 0 A Q U I N Environmental Health Department <br /> CC)U NTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LINCOLN VILLAGE HOA#6, 6725 CUMBERLAND PL, STOCKTON 95209 <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: Jacob Thomas, life guard <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0002533 PRO160193 SCO01 08/03/2021 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />
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