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CO0047666
Environmental Health - Public
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1600 - Food Program
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CO0047666
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Last modified
8/11/2021 3:46:50 PM
Creation date
11/29/2018 11:30:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0047666
PE
1600
FACILITY_ID
FA0002725
FACILITY_NAME
CHURCHS CHICKEN #5773
STREET_NUMBER
8023
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
08818007
ENTERED_DATE
10/25/2018 12:00:00 AM
SITE_LOCATION
8023 WEST LN
RECEIVED_DATE
10/25/2018 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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ADMIN
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EHD - Public
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SAN10 A Q U I N Environmental Health Department <br /> !J . � <br /> Food Program Complaint Inspection Report <br /> Facility Name and Address: CHURCHS CHICKEN#5773, 8023 WEST LN, STOCKTON 95210 <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code. If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: tins navarrette, manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0002725 000047666 SC544 11/13/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Complaint Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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