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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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EL DORADO
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725
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1600 - Food Program
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PR0160458
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COMPLIANCE INFO
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Entry Properties
Last modified
4/22/2020 4:35:59 PM
Creation date
1/29/2019 3:26:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160458
PE
1632
FACILITY_ID
FA0002569
FACILITY_NAME
PODESTO IMPACT TEEN CENTER
STREET_NUMBER
725
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13908001
CURRENT_STATUS
01
SITE_LOCATION
725 N EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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'oPa coc SAN JOAQUIN COU ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sl-ov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: O d-e 'f0 <2--en--4er Date: 13 5 <br /> Address: ,2 J � IE ( '�JO YQ C-U City: �GL'� Zip Code: S.70 <br /> Owner/Operator: /1 +0C'K+0 k, Telephone: <br /> Program Element: [to -2-' <br /> Program Record: P (2/ 0 .f to OSI 5'2 Inspection Type: �dV <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> t t, h.e. n Ak c4 Gr '4-ti Z,- <br /> ►-au-41 <br /> y-4 CC.� 5_t)0) On d h2 IL4e /_S 16--V 1 <br /> h z;4 3- 641-n <br /> � S <br /> Item/Location Temperature Item 1 Location Temperature <br /> 12t A�n rjC <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Ha Sin °F Ch ine: ppm Heat: of <br /> Exp.Date: WareiVaghin k: /tff 'F ouat.Amm.: ppm they: of <br /> C!� <br /> Received By/Title: <br /> EH Specialist: /_ _ !I __1 Phone: <br /> Time in: `vim ? i Time Out: Page of 2 <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />
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