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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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8. <br />9. <br />OR <br />10. <br />utensil wash within my <br />13. <br />"Important’ <br />14.Completed by. <br />Health Permit <br />Pacer TcvraJs <br /> JCuSng Board <br />Propane Save Skwcn <br />Page 8 of 11 TEMP EVENT APP <br />EHD 16-02 <br />1O>'13/O9 <br />Ste-xi wjO afftng <br />Desn <br />Garbage <br />Can <br />Booth must be on <br />Concrete. Asphalt. <br />Plywood, or a Tarp. <br />5 Gal Hand wash <br />Arasteykasr Coraaner <br />5-20 Gal <br />Hand wash '/.’ater <br />/pg- <br />Extra tze Bags & Food Cona^e.s trust te <br />stored 6 rchcs o^o'itegruur^ <br />SanirerttxJ'Ot- <br />Dteach&wate-for <br />s-ionng wprng cotns <br />Propane Tank J I <br />Ice Cooler 1 <br />______F <br />______L_ / <br />Scac and Aa^- | | H« <br />Fire Hxtmcvtsner <br />I Soap d-sper.ser <br />\______ <br />J j Beach and Vfeier | <br />boothPrOV'd'n9 thS f0,l0Win9 for adecfuate hand washing facilities, but separate from <br />Water supply dispenser with warm water at a minimum of 100’F (i.e. 5-20 gallon container with spigot). <br /> One separate tub (bucket or basin) for tne collection of rinse/wastewater. <br />Paper towels and pump-style soap container. <br />i—I 'ce chests ^^^tefrigerator <br /> Refrigerated truck ice bath and tubs <br /> Other (specify) <br />- ' are fesc'ifn Please make a coo. □( ibis anofca,™ in <br />^Q^^hRetum origfaL toefeXa7^obrdinator 1^weeks pTr to <br />—ikJn <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br />'^kThree compartment sink. <br />Su^oX^pi^ f°r «■** *** One for *■*» -d one for a bleach <br />Detergent, bleach, and wiping cloths (cleaning towels). <br />H^Tub to store wiping cloths in bleach solution.
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