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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILSON
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3550
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1600 - Food Program
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PR0548945
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
5/17/2024 3:07:44 PM
Creation date
5/17/2024 3:07:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0548945
PE
1684
FACILITY_ID
FA0028066
FACILITY_NAME
OPEN AIR MALL
STREET_NUMBER
3550
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
3550 N WILSON WAY
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orcilehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 0 1-3‘i t 1 b1/4.04„L2 <br />Date: <br />City: <br />t)/kil <br />Address: <br />k WI WI <br />("4-piv Zip Code: ? OS <br />Owner/Operator: • <br />' <br />Telephone: <br />Program Element: Program Record:(1 V---0 5L+SI qc Inspection Type: id7 fir& (41 <br />SB180 Posted es No Permit Posted es No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />+SI-Di s4 yu Att a A Mot/101i 0), Lo in J -Le s- 66-b <br />/4 1 IP <br />4 ?oc<-\ 512i150 5w -- <br />al tn99e0-tin. III) trykitliuv vefikA-L6Y)-5 <br />Y ) (,e - 1 ncene-ecA-T-Aci <br />Item/Location ] Temperature item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F Chlorine: PPm Heat: <br />Exp. Date: Warewashing Sink: °F Quat. Amm.: PPm Other: <br />Received By / Title: <br /> (9c n 7C(16---- <br />EH Specialist: A <br />Phone: (0 t 6-3 <br />ime in: 1 001 <br />Time Out: — to 01 01 Page o <br />EHD 16-24 (2^, pg) 4/3/13 FOOD PROGRAM OIR <br />
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