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CO0055534
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1904
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1600 - Food Program
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CO0055534
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Last modified
3/9/2023 12:12:18 PM
Creation date
3/9/2023 12:11:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0055534
PE
1600
FACILITY_ID
FA0001949
FACILITY_NAME
SAKURA HIBACHI CATERING
STREET_NUMBER
1904
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
12702026
ENTERED_DATE
1/17/2023 12:00:00 AM
SITE_LOCATION
1904 PACIFIC AVE
RECEIVED_DATE
1/17/2023 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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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. Ifs reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: <br />EH Specialist: LYDIA BAKER Phone: (209) 616-3046 <br />FA0001949 C00055534 SC004 02/06/2023 <br />EHD 16-23 Rev. 04/07/22 Page 2 of 2 Complaint Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd
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