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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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EASTVIEW
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5001
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1600 - Food Program
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PR0160899
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COMPLIANCE INFO
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Entry Properties
Last modified
4/21/2020 4:34:14 PM
Creation date
2/21/2019 2:03:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160899
PE
1632
FACILITY_ID
FA0002753
FACILITY_NAME
LODI USD-MORADA MIDDLE SCHOOL
STREET_NUMBER
5001
STREET_NAME
EASTVIEW
STREET_TYPE
DR
City
STOCKTON
Zip
95212
APN
08607043
CURRENT_STATUS
01
SITE_LOCATION
5001 EASTVIEW DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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SAN JOAQUIN COU f <br /> y-� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c... ;P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s*gov.org/ehd <br /> 4C/FO'ftia <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility:e C Date: 113 <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: r Program Record: Insp $r Typq: <br /> B180 Posted Yes Nol Permit Posted Yes No Re-Inspection on or After: l <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> J 1 l�Irtu IjL <br /> l h Ce <br /> kl <br /> ie7 , <br /> U t V'� <br /> V G <br /> ( t. <br /> Item/Loca o�t n Temperature Item/Location Temperature <br /> ----- ---— T --- - --....__ .... - <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> -------- ... ._---_.._..- -- ---------- <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Title:�r� ^' f�V ' <br /> EH Specialist n /\ y_ Phone: <br /> Time in: d � V Time Out: 1' J / Page of <br /> EHD 16-24 (2n°pg) 4/3/13 / FOOD PROGRAM OR CONTINUATION <br />
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