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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LARCH
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11157
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1600 - Food Program
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PR0163211
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COMPLIANCE INFO_2022
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Last modified
6/23/2022 10:58:58 AM
Creation date
6/23/2022 10:57:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0163211
PE
1632
FACILITY_ID
FA0003115
FACILITY_NAME
LARCH CLOVER CENTER
STREET_NUMBER
11157
Direction
W
STREET_NAME
LARCH
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21217001
CURRENT_STATUS
01
SITE_LOCATION
11157 W LARCH RD
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: LARCH CLOVER CENTER, 11157 W LARCH RD, TRACY 95376 <br />Food Program Official Inspection Report <br />wiping cloth bucket 400ppm Quat / Quat sanitizer test strips are available <br />Brown Bag on the 1st and 3rd Wed of the month <br />Communal dining Mon & Wed 11:30am (Senior lunch program) / warewashing occurs on site <br />Food comes from the Stockton Community Kitchen <br />No signature obtained <br />Report typed up in the office 2:54p-3:04p <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/ Ron Munoz, CSS Dir. <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0003115 PR0163211 SC001 06/21/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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