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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WEST
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4206
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1600 - Food Program
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PR0160452
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COMPLIANCE INFO_2022
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Last modified
6/29/2022 7:52:55 AM
Creation date
6/29/2022 7:49:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160452
PE
1625
FACILITY_ID
FA0002180
FACILITY_NAME
DEJA VU SHOW GIRLS
STREET_NUMBER
4206
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11702003
CURRENT_STATUS
01
SITE_LOCATION
4206 WEST LN
P_LOCATION
01
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: DEJA VU SHOW GIRLS, 4206 WEST LN, STOCKTON 95204 <br />Food Program Official Inspection Report <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) 616-3035 <br />, <br />DARIA AFONSKAIA <br />Page 4 of 4EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0002180 PR0160452 SC001 06/16/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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