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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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PR0546188
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COMPLIANCE INFO_2021
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Last modified
1/4/2022 8:34:58 AM
Creation date
1/4/2022 8:29:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546188
PE
1635
FACILITY_ID
FA0026137
FACILITY_NAME
FLAVOR FUSION #4RW1282
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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S A :J O Q V I � <br /> Ipl�r Environmental Health Department <br /> COUNT <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: FLAVOR FUSION#4RW1282, 2900 E HARDING WAY, 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: <br /> EH Specialist: VIDAL PEDRAZA Phone: (209)616-3020 <br /> FA0026137 PR0546188 SCO01 12/27/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility 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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