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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0503284
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
3/17/2023 8:31:34 AM
Creation date
2/22/2023 4:57:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0503284
PE
1619
FACILITY_ID
FA0022671
FACILITY_NAME
WALMART #2025
STREET_NUMBER
3010
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
23860010
CURRENT_STATUS
01
SITE_LOCATION
3010 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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a44H'" SAN JOAQUIN COUNTY <br /> " ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> aq.•• _ `p Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.orq/ehd <br /> �IFORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ZCZ Date: <br /> %ddress: . . \ C 1 ^ _ n City: Zip Code: <br /> wnerlOperator: VV VY"G. Telephone: <br /> Program Element: \ 1 Program Record: S0� LI Inspection Type: <br /> 8180 Posted 0 Yes 0 Permit Posted Dyes Of Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 3 - 1 clhp-if s S <br /> bor\\ 33 f= �t OF <br /> e J - 3 — �=x�\ J LRS- '-t F__ <br /> c (esc e \5 - - - C-1 -\ - Ic.c 3 = <br /> e- SS F \`1016E <br /> ee5 - vJCn 1SS 3b -- —u.) 1- Zb <br /> e WCA 1 - 3 I - <br /> vJ - ii, i — `1 os = <br /> e - —vs •- 3t I = <br /> sN iip <br /> semVNeV b2 <br /> c CA-Ar 1 k S3 1= <br /> ItemlLocation Temperature f Item Location Temperature <br /> � I <br /> Food Safety Certificatid' ii _ Facility Hot Water Temperature —jj Warewashing <br /> Name: Hand Sink: `F LChlorine: ppm Heat of <br /> Exp.Date: Warewashing Sink: of IlQuat.Amm.: Ppm ther: 'F <br /> Received By I Title: Q3 - \ <br /> EH Specialist: Phone: �� — �-•� c <br /> Time in: III <br /> Time Out: \ 059 G J Pag f <br /> EHD 1624(2^ Pg) 0113 FOOD PROGRAM OR CONTINUATION <br />
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