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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SACRAMENTO
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125
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1600 - Food Program
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PR0160056
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/4/2023 9:55:38 AM
Creation date
9/15/2023 9:58:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0160056
PE
1625
FACILITY_ID
FA0000339
FACILITY_NAME
MAZATLAN CAFE
STREET_NUMBER
125
Direction
N
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04302605
CURRENT_STATUS
01
SITE_LOCATION
125 N SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN J OAQ I I I N Environmental Health Department <br /> COUNTY IV <br /> `��,F❑ Greotness grows here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: MAZATLAN CAFE, 125 N SACRAMENTO ST, LODI 95240 <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 /> FA0000339 SR0086755 SC061 05/25/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 3 of 3 Food Program Service Request Inspection Report <br />
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