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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FAIRMONT
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950
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1600 - Food Program
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PR0527300
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COMPLIANCE INFO
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Entry Properties
Last modified
4/29/2020 1:30:50 PM
Creation date
5/10/2019 4:30:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0527300
PE
1628
FACILITY_ID
FA0009730
FACILITY_NAME
FAIRMONT REHABILITATION HOSPITAL
STREET_NUMBER
950
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03113040
CURRENT_STATUS
01
SITE_LOCATION
950 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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S A I D J O M Q V I N Environmental Health Department <br /> COU N7Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: FAIRMONT REHABILITATION HOSPITAL, 950 S FAIRMONT AVE, LODI 95240 <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 /> �J <br /> Received by: y' Name and Title: jay malone,food service manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0009730 PR0527300 SCO01 05/02/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <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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