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COMPLIANCE INFO_2018-2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILSON
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1600 - Food Program
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PR0538114
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COMPLIANCE INFO_2018-2019
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Last modified
12/29/2020 1:18:39 PM
Creation date
2/6/2020 4:19:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018-2019
RECORD_ID
PR0538114
PE
1684
FACILITY_ID
FA0022013
FACILITY_NAME
PERALTA PRODUCE
STREET_NUMBER
3550
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
13207012
CURRENT_STATUS
01
SITE_LOCATION
3550 N WILSON WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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�o�4 .coG SAN JOAQUIN COUNO <br /> y-+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. '�;p• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.si4ov.orp/ehd <br /> L�FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 0W 11A, <br /> Date: f ZAe' ,- fJ <br /> Address: ' �b City: 54 011r" Zip Code: c1�06 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: ft�o�.� Inspection Type:IS <br /> 8180 Posted Yes Permit Posted No Re-Inspection on or After: w <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 561 $0 v � sf+i✓. �I f�(1 I e&k fv <br /> L '4- *W 'w hl Nx, <br /> Item/Location Temperature Item 1 Location _ Temperature <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: <br /> EH Specialist: ��— Phone: <br /> Time in: lug,ryt Time Out: ,1: Page of <br /> EHD 16-24 (2ndpg) 4/3/1'31 FOOD PROGRAM OIR CONTINUATION <br />
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