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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0161809
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COMPLIANCE INFO_2022
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Last modified
9/22/2022 4:21:20 PM
Creation date
2/9/2022 8:19:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0161809
PE
1619
FACILITY_ID
FA0000473
FACILITY_NAME
PAQ Inc DBA Rancho San Miguel Market
STREET_NUMBER
620
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
Ln
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
620 S Cherokee Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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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: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0000473 C00055160 SCO04 08/23/2022 <br /> EHD 16-23 Rev.01/07/2021 Page 3 of 3 Complaint Inspection Report <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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