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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2602
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1600 - Food Program
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PR0541581
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/28/2022 12:00:17 PM
Creation date
7/26/2022 8:36:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0541581
PE
1624
FACILITY_ID
FA0023837
FACILITY_NAME
WEST COAST SOURDOUGH
STREET_NUMBER
2602
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2602 W KETTLEMAN LN #120
P_LOCATION
02
QC Status
Approved
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EHD - Public
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SAN-J OA Q U I N Environmental Health Department <br /> COU NTY <br /> Greatness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: WEST COAST SOURDOUGH, 2602 W KETTLEMAN LN , LODI 95242 <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: Karndeep Uppal, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0023837 SR0084951 SC523 07/13/2022 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />
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