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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160946
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
6/5/2024 11:24:51 AM
Creation date
6/5/2024 11:23:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0160946
PE
1682
FACILITY_ID
FA0002995
FACILITY_NAME
SAN JOAQUIN CERTIFIED FARMERS MKT
STREET_NUMBER
4950
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10222019
CURRENT_STATUS
01
SITE_LOCATION
4950 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
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.sigov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPOR <br />Name of Facility:Un V144. 11 C Q, i"-tt tietrA .4-it.o.firtii's (til:t Date: t) iq i .2)4, <br />, City: ( .1-tLt ZipCode. <br />• iii.Ct) Address: ) pCicA ...i v IS 101- <br />Owner/Operator: elk\ tic) IA:Iva, Telephone: <br />'--. —tariv Program Element: t, /CA— Program Record: kOC:5t6ON -4- ID Ro 1 (0 0q , pection Type: padtp it_ <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />(1 -1• _ <br />al" W., , • ' 11, • f <br />V <br />I 1 /1 <br />r'n,pu.)s <br />/ <br />ED -_-‘‘c,,fAev YeAkkeot4 <br />ils —1 au )1 /4-- CA -worry)) <br />oomoiryi au0Pn . <br />\-Y-7-10 i, CA -100 Pprn <br />PoovIct Q,neAu4 13corn-uroe \pf tut mise;si iv+ <br />I ' N 1., fit 12.ifis. - pitc,tucQ <br />\ad <br /> <br />fl M L ti on ).0171,1°}b '-clemeic- pn titk) <br />B it PO WAIIIS-- pred4acf2 <br />0 TILlfatriS 1-11Otti- t .:',sttlici-tiij-e_ - rwioti(4 ---aot,,6 onlo nO cctinpl 1 11.9 <br />r=---- _ <br />E 1-70•, 7, i 'L _, iL rl11111 t <br />-- - ) - E‘ ‘1--; ' II ,.. I . -;=,,1Jiii ) r, t..ils Tri 7 -in Li --•' ' , -I , - • • , )1-1-,1 l'' <br />Name: Hand Sink: o F Chlorine: ppm Heat: . <br />Exp. Date: arewashing Sink: . Quat. Amm.: ppm Other: . <br />Received By / TitlE <br />Phone: <br />Time in: (4,0 01 ) Time Out: Page2_of ( fs <br />FOOD PROGRAM OIR CONTINUATION END 16-24 (2^4 pg) 4/3/13
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