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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1110
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1600 - Food Program
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PR0537058
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COMPLIANCE INFO
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Entry Properties
Last modified
5/22/2020 2:59:40 PM
Creation date
7/24/2019 2:38:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537058
PE
1632
FACILITY_ID
FA0021267
FACILITY_NAME
RIO VALLEY CHARTER SCHOOL
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06037001
CURRENT_STATUS
01
SITE_LOCATION
1110 W KETTLEMAN LN STE 10
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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�...Q .. C San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �..• _ P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4�IFO'Rt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DREAM ICE CREAM PARLOR, 1110 W KETTLEMAN LN, LODI 95240 <br /> hand sink- restroom in office building(women's)--100.00°F hand sink- Women's restroom--93.00°F <br /> hand sink- Men's restroom--91.00°F hand sink- restroom in office building(Men's) 91.00°F <br /> NOTES <br /> sanitizer bucket 200-300ppm (quat) <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 <br /> isisjllrequired,fees will be assessed at the current hourly rate. <br /> 1O /1- ' <br /> Received by: Name and Title: Brian Shin, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0021267 PRO537058 SCO01 10/02/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />
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