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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161478
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COMPLIANCE INFO_2022
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Last modified
2/9/2022 8:12:33 AM
Creation date
2/9/2022 8:09:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0161478
PE
1625
FACILITY_ID
FA0002562
FACILITY_NAME
Sutter Valley Hospitals dba Sutter Tracy Community Hospital
STREET_NUMBER
1420
Direction
N
STREET_NAME
TRACY
STREET_TYPE
Blvd
City
Tracy
Zip
95376
APN
233-081-01
CURRENT_STATUS
01
SITE_LOCATION
1420 N Tracy Blvd
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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Environmental Health Department <br />Facility Name and Address: Sutter Valley Hospitals dba Sutter Tracy Community Hospital, 1420 N Tracy Blvd, TRACY 95376 <br />Food Program Official Inspection Report <br />additional Food Safety Certificate available for Susana Payta - expires 7-24-2023 <br />wiping cloth bucket at Cafe: 170ppm DDBSA (corrected to 272 ppm DDBSA) <br />wiping cloth buckets in kitchen: 272 ppm DDBSA <br />test strips are available <br />3-comp sink 272 ppm DDBSA <br />Report typed up at the office 3:17pm-3:33pm <br />No signature obtained <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:(209) 616-3025 <br />discussed w/ Mitch Davenport, Mgr. <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0002562 PR0161478 SC001 02/07/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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