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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FARMINGTON
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2824
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1600 - Food Program
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PR0548031
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
3/2/2023 12:39:09 PM
Creation date
3/2/2023 12:38:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548031
PE
1615
FACILITY_ID
FA0027406
FACILITY_NAME
H & M SMOKE SHOP
STREET_NUMBER
2824
STREET_NAME
FARMINGTON
STREET_TYPE
RD
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
2824 FARMINGTON RD
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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�p°�'"•.c SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />�IFpR� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />OKE SHOP <br />Date: O-L—C, <br />ddress: 2 <br />I N O� O�ty' <br />Ft Zip C TDI / Zip Code: 9 52.0 S <br />caner/Operator: <br />Telephone: <br />rogram Element: <br />Program Record: <br />Inspection Type: <br />6180 Posted <br />D Yes D Remit Posted D Yes ❑ 1 <br />Re -Inspection on or After: <br />RL <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />NO til AY012. VIO L <br />• <br />rZ <br />-rota EL b1157pEN59 /Kj -tjie <br />ES r2oo iaSPT <br />f3EF-/L-L <br />obA . <br />'4w <br />rano ws N40-.1- 3 <br />6r--CI-OS/N I stow <br />3 EL F= -CLdS <br />N II/ GE tQ/s boo / 7 Al s. <br />r <br />Tl415 1IZ&S'r&e00Aoi <br />4Nn A4op SjAlj<A2 <br />lvw W <br />ti- <br />p <br />rA4&3&9' <br />A&EAS, A / C v€ LZ <br />TI /-ES W 11-A /4• <br />INCH- <br />INI VE l U <br />IN6616,5 W N61 <br />r0 <br />NSuL A -r/ tNJ <br />WZ M IN A <br />- - -. IfemlLocation Temperature Item /Location .. j Temperature <br />- P , . _. <br />_/tiJ_GILi� —Doo2 wl9t.lr/N rao�.eK 'for <br />Aon 1° 5/Alk 17- 74=- <br />Fa - <br />"4 ty `Elficallon°'„ality Hot Water Temperature' F `” " ` Warewashing <br />Name: N A (Hand Sink: `D IChlorme: ppm Heat: 'F <br />Exp. Date: arewashing Sink: `F Quat. Am m.: ppm Other. .F <br />eceived By / Title: I <br />H Specialist: CI79 U,01A— �� �D <br />me in: 't® A 94 <br />Ii <br />Phone: -L-02— 56-1— <br />Time Out: ^ ,. (� D A Pag�of <br />f Z <br />EHD 1624 (2- pg) 413113 FOOD PROGRAM OR CONTINUATION <br />
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