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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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PR0505059
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/26/2022 3:50:22 PM
Creation date
4/28/2022 8:01:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0505059
PE
1632
FACILITY_ID
FA0006502
FACILITY_NAME
LODI USD-VICTOR SCHOOL
STREET_NUMBER
17670
STREET_NAME
BRUELLA
STREET_TYPE
RD
City
VICTOR
Zip
95253
CURRENT_STATUS
01
SITE_LOCATION
17670 BRUELLA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN J 0 A Q U I N Environmental Health Department <br /> CC)U NTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LODI USD-VICTOR SCHOOL, 17670 BRUELLA RD,VICTOR 95253 <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: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0006502 PR0505059 SCO01 10/20/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program 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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