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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CENTRAL
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608
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1600 - Food Program
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PR0544474
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/15/2023 3:15:36 PM
Creation date
3/22/2023 3:00:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0544474
PE
1618
FACILITY_ID
FA0025281
FACILITY_NAME
TEQUILA SHOP
STREET_NUMBER
608
Direction
S
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
608 S CENTRAL AVE
P_LOCATION
02
QC Status
Approved
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EHD - Public
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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CENTRAL MARKET, 608 S CENTRAL AVE , LODI 95240 <br /> Ok to issue permit once fee is paid and 5021 form is updated. <br /> PE 1618,fee$287. <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: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0025281 SR0086347 SC061 02/10/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />
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