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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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15557
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1600 - Food Program
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PR0528910
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COMPLIANCE INFO
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Entry Properties
Last modified
4/29/2020 2:06:05 PM
Creation date
5/21/2019 1:48:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0528910
PE
1632
FACILITY_ID
FA0019370
FACILITY_NAME
MANUEL VALVERDE PARK
STREET_NUMBER
15557
STREET_NAME
FIFTH
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19624017
CURRENT_STATUS
01
SITE_LOCATION
15557 FIFTH ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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JCastaneda
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EHD - Public
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.: SAN JOAQUIN C&NTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON,CA 95202-3029 <br /> TELEPHONE:(209)468-3420 Fax:(209)464-0138 WEB:WWW.SJGOV.ORG/EHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: � R1�� *RK Date: !(-e <br /> d—dr ess: /5 -�- 7'4 Sr City: J&T SP zip Code: <br /> Owner/Opera`tor: /ty G f 7W(P Telephone: y� <br /> Program Element: /_,..✓✓ Program Record Fy�6( Inspection Type:��� <br /> C� �J`.' _ �63C <br /> SB180 Posted -Y. ., No Permit Posted des--MIT Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 4'4 -3 t TS-00 Aoorr o 1 TOS4viAL o <br /> 15 771 S A4 lftP 14 alTH>�M►A&v, lUftl5i j)w tlini�iru 7a2'i w�u <br /> A.b R TSS S4AP,tjNaT R rkaulibe / j0/A0!j0k AGmtW r�F <br /> 4k �9/Lr'Ti <br /> k&Tulou To 10 C0 Cc, owN ST S A Way <br /> k 1 N prU o <br /> O 155 u E — A i PE&Ixf- /G 3� <br /> Alm R rMA05 0�fGt1`1 4AID 5 I(,!aj4> <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: GF hlorine: ppm Heat: OF <br /> Exp.Date: are ashing Sink: OF Quat.Amm.: ppm her: ,F <br /> Received By/Title: <br /> H Specialist: Phone: <br /> Time in: 1' i1 Time Out: Page of <br /> EHD 16-23(2nd pg) 8/14/08 FOOD OR CONTI ATION <br /> 08/14/08 <br />
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