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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILSON
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3550
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1600 - Food Program
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PR0538117
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/27/2021 4:28:45 PM
Creation date
12/27/2021 4:26:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0538117
PE
1684
FACILITY_ID
FA0022014
FACILITY_NAME
MORENO PRODUCE (3 STANDS)
STREET_NUMBER
3550
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205-2427
APN
13207012
CURRENT_STATUS
01
SITE_LOCATION
3550 N WILSON WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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,al" 'na•�, SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• E��IPe��;;e Telephone: (209) 468-3420 Fax. (209)464-0138 Web: www.sigov.omlehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />✓ ki <br />/ % [�wtvLi <br />Date: 1 Z <br />2d <br />ddress: <br />City: <br />Zip Code: <br />Owner/Operator: <br />Y Yv <br />Telephone: <br />Program Element: <br />adY <br />Program Record: {D )2 S G 1 —7 <br />1 a <br />Inspection Type: <br />SB180 Posted Yes <br />No Permit Posted Yes No <br />Re -inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />✓V1A. <br />oA- <br />Z.�� I <br />sztl <br />L <br />l <br />ItamlLocalio <br />'Temperature <br />Item I Location - <br />Temperature <br />Food Safety Certification <br />Facility,_Hot Water Temperature_. <br />Warewashing <br />_ <br />Name: <br />Hand Sink: <br />eF Chlorine: PPm <br />Heat: <br />of <br />Exp. Date: <br />Warewashing Sink: <br />of F,uat. Amm.: PPM <br />Other: <br />eF <br />Received By / Title: <br />EHSpecialist: <br />(/VEL <br />Phone: <br />ime in: 2 <br />Time Out: 2 •L <br />Page <br />of <br />EHD 16-24 (20 pW 413113 FOOD PROGRAM OR CONTINUATTON <br />
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