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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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PR0547287
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COMPLIANCE INFO_2021
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Last modified
1/11/2022 4:32:58 PM
Creation date
11/23/2021 1:18:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0547287
PE
1632
FACILITY_ID
FA0026857
FACILITY_NAME
KIPP STOCKTON MIDDLE SCHOOL
STREET_NUMBER
742
STREET_NAME
DALLAS
STREET_TYPE
AVE
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
742 DALLAS AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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11 � I I I AI Environmental Health Department <br /> N <br /> Y U N <br /> r�■■z�ti� C0L N T Y <br /> Greorness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: KIPP STOCKTON MIDDLE SCHOOL, 742 DALLAS AVE , STOCKTON <br /> Report typed at the office 3:37pm-3:45pm <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: discussed w/Jessica Miranda, Direct <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0083999 SC061 11/09/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />
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