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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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PR0546120
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COMPLIANCE INFO_2021
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Last modified
11/3/2021 11:50:23 AM
Creation date
11/3/2021 11:49:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546120
PE
1635
FACILITY_ID
FA0026086
FACILITY_NAME
FIRED MOBILE PIZZA OVEN #4LL6919
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: FIRED MOBILE PIZZA OVEN #4LL6919, 620 S SACRAMENTO ST, LODI 95240 <br />Mobile Food Facility Official Inspection Report <br />PE 1635 <br />4LL6919 <br />VIN...8403 <br />Ok to issue 2022 permit once fee is paid <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: <br />Daniel, <br />STEPHANIE RAMIREZ <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Mobile Food Facility OIR <br />FA0026086 PR0546120 SC001 10/28/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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