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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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PR0548870
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COMPLIANCE INFO_2023
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Last modified
2/1/2024 9:54:02 AM
Creation date
2/1/2024 9:53:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548870
PE
1681
FACILITY_ID
FA0028009
FACILITY_NAME
PANDA'S SMOKE SHACK
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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Sample Client Log: Must be Kept for 90 days. <br />Panda's Smoke Shack <br />Name: Phone Number: Address: Date of Food Served: <br />Service: <br />Jane Doe (209) 123-4567 1234 S. Catering 01/02/2023 Tri — Tip & Chicken <br />Lane, Lodi, CA Potato Salad <br />95242 Green Salad <br />Email: pandassmokeshack@gmail.com <br />Phone: (530) 921 - 7624
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