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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MARIPOSA
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542
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1600 - Food Program
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PR0517527
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COMPLIANCE INFO
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Entry Properties
Last modified
5/26/2022 11:24:43 AM
Creation date
12/9/2018 1:39:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0517527
PE
1644
FACILITY_ID
FA0000642
FACILITY_NAME
CANTEEN
STREET_NUMBER
542
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
MODESTO
Zip
95354
CURRENT_STATUS
01
SITE_LOCATION
542 MARIPOSA RD
P_LOCATION
98
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\W\WILSON\2256\PR0517527\COMPLIANCE.PDF
QuestysFileName
COMPLIANCE
QuestysRecordDate
8/20/2015 8:35:02 PM
QuestysRecordID
2752370
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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ea"'"••o SAN JOAQUIN COU*(Y <br /> �' za ENVIRONMENTAL HEALTH DEPARTMENT <br /> r. < <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> tl pg'A <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: I C✓ <br /> ddress: City: sr"Altux <br /> Zip Code <br /> wner/Operator: �7 -] <br /> Teleotto�_ .flo_ <br /> Program Element Program Record: 1..7 Inspection T�Type:, YYOO <br /> 8180 PosteO Yes ❑ No Permit Posted/Yes ❑No Re-Inspection on or After: <br /> r <br /> Ell= r—� <br /> ame: Hand Sink: .F hlorine: Ppm eat: =F <br /> Exp.Date: arevrashing Sink: .F uat.Amm.: ppm ther: =F <br /> Received By I Title: <br /> EH specialist: Phone:,)Df, ,D 33 <br /> TimeIin: p, 3D Time O�utT:/"i�C,� 5� Pa9e E3 <br /> EHD16-23 (2bpg) 11106/088 FOOD OIR CONTINUATION <br />
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