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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PINE
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1371
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1600 - Food Program
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PR0516224
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COMPLIANCE INFO_2022
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Last modified
5/16/2022 3:29:32 PM
Creation date
5/10/2022 8:36:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0516224
PE
1624
FACILITY_ID
FA0012518
FACILITY_NAME
CUT THE MUSTARD LLC
STREET_NUMBER
1371
Direction
E
STREET_NAME
PINE
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04932014
CURRENT_STATUS
01
SITE_LOCATION
1371 E PINE ST STE 12
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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I Environmental Health Department <br /> S A N-6J 0 A 0 U.�M <br /> CC)L) T <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CUT THE MUSTARD LLC, 1371 E PINE ST, LODI 95240 <br /> PE 1624,fee$355 <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 /> FA0012518 SR0085187 SC061 04/28/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 4 of 4 Food Program Service Request Inspection Report <br />
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