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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HARLAN
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1600 - Food Program
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PR0548661
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/15/2023 3:08:39 PM
Creation date
10/9/2023 11:15:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548661
PE
1635
FACILITY_ID
FA0027843
FACILITY_NAME
HUMMUS REPUBLIC #4VK2480
STREET_NUMBER
16201
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19627031
CURRENT_STATUS
01
SITE_LOCATION
16201 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> r�■z�w� COUNTY <br /> Greotr+ess 9row3 here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: KN INC DBA HUMMUS REPUBLIC, 16201 S HARLAN RD , LATHROP <br /> NOTES <br /> Food plan check final inspection conducted <br /> Chlorine sanitizer test strips ok <br /> OK to permit not issued: <br /> 1. The license plate#does not match the DMV registration. Obtain correct license plate to match DMV registration, or obtain <br /> new plate assignment from DMV(VIN &license plate#must match on the registration)-permitting condition. <br /> License plate#on trailer 4VJ6989(does not match) <br /> VIN: 3C91A2223P9248078 <br /> 2. Commissary letter needed-permitting condition. <br /> Items#1 &2 can be texted or e-mailed to Kadeanne Linhares klinhares@sjgov.org/209-616-3025 <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: discussed w/Kanwaljit Kaur, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0087083 SC523 08/30/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />
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