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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0547930
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COMPLIANCE INFO_2022
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Last modified
10/27/2022 2:45:22 PM
Creation date
9/22/2022 2:28:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547930
PE
1635
FACILITY_ID
FA0027329
FACILITY_NAME
DOUBLE BACK LLC #4UP8623
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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° r I Environmental Health Department <br /> SAN-6-JOAQU <br /> CaLJT <br /> Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: DOUBLEBACK LLC, 5638 KERMIT LN , STOCKTON <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> air--atosa prep table 35.00°F air--atosa berverage cooler--41.00°F <br /> air--atosa 2 door cooler--41.00°F <br /> NOTES <br /> The above violations must be corrected and verified by this department prior to issuing a permit to operate. <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: VIDAL PEDRAZA Phone: (209)616-3020 <br /> SR0084502 SC523 06/01/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />
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