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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DE VRIES
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12145
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1600 - Food Program
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PR0526555
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COMPLIANCE INFO
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Entry Properties
Last modified
7/12/2026 10:56:27 AM
Creation date
7/12/2026 10:49:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526555
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0017972
FACILITY_NAME
KINGDON DRAGS
STREET_NUMBER
12145
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05518005
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\jcastaneda
Supplemental fields
Site Address
12145 N DE VRIES RD LODI 95242
Tags
EHD - Public
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9.I am providing the fb-towing items within my booth for ihe sanitary deling of iPod reparation utensils: <br />□ Three compartment sink. <br />O Detergent bleach, and wiping cloths (tieanrQ s?*eis:. <br />O Tub to store wiping cloths in bleach soiuOcr. <br />10. <br />13.Name^tnKpon^te persorg robe presets r. acofr ttnng at rojs rf ooeracorz: <br />"Important" <br />r Pacer .K&tdlcAci <br />PrapantTcrx <br />R«3jV^££f fiX£Sli71VjECr <br />RrBfcero-s.-r' <br />Ice Cooler <br />Tar» EVENT APP <br />^JWater supply efispenser with warm wser at a aMMr. of 10FF fte. 5-2C gaitor corsasier with spigm) <br />□ One separate tub (bucket or basin) far me ccdechcr. .-rae wasewser. <br />8. <br />3. <br />EHD IMO <br />KV13Z09 <br />Garbage <br />Can <br />5Ca <br />Wtes3ft«fs Cecsuxi <br />Booth must be on <br />Concrete. Asphalt, <br />Plywood, or a Tarp. <br />Extra imBs^ 6 Cya •KrzmtKbe <br />i^tedSixhsj of! cf <br />^Jlcrawsa □R«frrg<»ritor <br />□ Rafr^arated truck O Ice bath and tubs <br />|FyGther (speedy) <br />Title <br />5-20 Cfi*. <br />Hxn nsm wzsr <br />AU food vender booths are subject io iKpeafon. Please make a copy of ttis application in <br />preparation for ths event A copy of trks cheaSst must be m the booth at aS hours of <br />prepaation and operafiocL Return original to festival coordinator three weeks prior to <br />this event . <br />~-Lr~r^ <br />X -— .L---- ... .^ <br />Scap.tmVMrs' || <br />I Saotrzertud'tt <br />I m^XJ d^rgccrE <br />I fpwieMrr |------ <br />UU <br />OR <br />^^TOee deep tuts (basins &8 inches nwumun’), one for soapy 'Wats’ one for rfossng and one for a bleach <br />'solution (one tablespoon of bleach per gator, of water..
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