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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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EL DORADO
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110
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1600 - Food Program
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PR0548335
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
5/5/2023 8:31:47 AM
Creation date
5/5/2023 8:29:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548335
PE
1681
FACILITY_ID
FA0027593
FACILITY_NAME
SOUL DELICIOUS TREATS
STREET_NUMBER
110
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
110 N EL DORADO ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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r .41 •A Commissary Name: <br />Address: 110 • K.L. <br />Facility ID #: <br />C4- gs-vs <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Food Production <br />1. Indicate the location where you will store food and equipment at the end of the day. <br />MENU DESCRIPTION <br />Indicate all the food and beverage items for sale. WHERE WILL THE FOOD BE PREPARED? <br />FOOD ITEM COMMISSARY ON-SITE <br />aUfg COA- <br />Pywy\CL Cti: ' <br />1— <br />X 1-1 <br />LII <br />2. List equipment and utensils that will be used. Please be specific on equipment's use and function. <br />For example: Equipment: Blender Intended use: Make Smoothies <br />Equipment Intended use during food preparation or catering event <br />Refrigerator <br />Ok.P. Cbuq, e,5_6si OttaNyi chtts,e I, <br />'--23,tvAir KAA\ic c(4e_ -Ove.. codAL12-> <br /><6At 1°'1'1110tVINS. <br />1 i <br />c‘ \L(Ci --r/5 iraty frkil, IVOc, ' lif4n bbidi ecbleNhvin-k/y( <br />SiAj‘di <br />9 nf
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