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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0161568
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/19/2024 10:19:36 AM
Creation date
10/27/2021 2:04:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0161568
PE
1617
FACILITY_ID
FA0003143
FACILITY_NAME
KOVALAM GROCERY & RESTAURANT
STREET_NUMBER
1200
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
1200 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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I MCrush Pest Management Service Report#101365 <br /> 672 W 11th St Service Date: <br /> 11 Suite 365 11/8/2021 <br /> Tracy, CA 95376 <br /> <br /> 9 <br /> <br /> <br /> Location Infor <br /> Philip, Owner <br /> Restaurant and Grocery <br /> Main Number (209) 639-4299 <br /> Mobile Number (209) 639-4299 <br /> Email jjkphilip@gmail.com <br /> Visit Information <br /> Duration 01:15 Commitment None <br /> Start/Stop 11/8/2021 10:18 AM <br /> 11/8/2021 11:34 AM <br /> Last Service 10/28/2021 <br /> Assignments John Boone [OPR110811 <br /> Service Information <br /> Services Qty Price <br /> Call Back Service - No Charge Warranty: One Time with an 1 visit $0.00 <br /> expected duration of 0:30 <br /> Subtotal: $0.00 <br /> Tax: $0.00 <br /> Total: $0.00 <br /> Materials Information <br /> Material Qty Dilution Factor Method Total Applied Area <br /> Archer IGR (EPA #100-1111) 0 Ga 1% Liquid Application <br /> Company License # OPR11081 Page 1 of 2 <br />
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