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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KAVANAGH
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1600 - Food Program
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PR0162579
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COMPLIANCE INFO
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Entry Properties
Last modified
5/22/2020 1:21:23 PM
Creation date
12/7/2018 5:36:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0162579
PE
1632
FACILITY_ID
FA0002968
FACILITY_NAME
TRACY USD-JACOBSON SCHOOL
STREET_NUMBER
1750
Direction
W
STREET_NAME
KAVANAGH
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
21407002
CURRENT_STATUS
01
SITE_LOCATION
1750 W KAVANAGH AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\K\KAVANAUGH\1750\PR0162579\COMPLIANCE.PDF
QuestysFileName
COMPLIANCE
QuestysRecordDate
10/1/2015 8:15:03 PM
QuestysRecordID
2873614
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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eoP4 ,co `� SAN JOAQUIN COUNT? <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 'CGI.,B.aN <br /> P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: —T 5 r) - 7'�( 5c SC ho c I Date: <br /> Address: 1 7 5 0 0). K et u cAn ,., i, AVL City: l r r Zip Code: <br /> Owner/Operator: i Telephone: r3 G— 331 <br /> Program Element: Program Record: Inspection Type: oN j.n c <br /> SBI 80 Posted ❑Yes ❑ No Permit Posted Yes ❑ No Re-Inspection on or After: <br /> N U ojp ti<: ortS <br /> 'ra u e foie, <br /> h;dG u Is / S rue �-efMCC <br /> ✓. :� (rFood Safety Certification Facility Hot WatWarewashiName: Hand Sink: ppm Heat: 'FExp. Date: - '- - arewashing Sink: m,: a G` ppm Other. 'F <br /> Received By/Title: <br /> EH Specialist: - Phone: <br /> Time in: Time Out: C =Page <br /> 1a. 21 7 <br /> END 16-24 (2n°pg) 419112 FOOD PROGRAM OIR CONTINUATION <br />
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