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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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1600 - Food Program
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PR0161128
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COMPLIANCE INFO
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Entry Properties
Last modified
5/1/2020 2:59:00 PM
Creation date
2/10/2020 2:01:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0161128
PE
1625
FACILITY_ID
FA0003003
FACILITY_NAME
RUSTYS
STREET_NUMBER
320
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21449014
CURRENT_STATUS
01
SITE_LOCATION
320 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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aPq�l" s SAN JOAQUIN COUNT <br /> 4� ENVIRONMENTAL HEALTH DEPARTMENT <br /> - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sggov.org/ehd <br /> 41FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Lt� �l <br /> Address: O City: 22 Zip Code: <br /> Owner/Operator: /"� Telephone: <br /> Program Element: C Program ecord: /7 C Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No G Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTION <br /> 7- <br /> Food <br /> Food Safety Certification PaUH.tperaturarm .... ". Warewashing <br /> Name: Hand Sink: F Chlorine: Ppm Heat: 'F <br /> Exp.Date: arewashing Sink: - 'F uat.Amm.: PPM (Other: "F <br /> Received By/Title-777 <br /> y/Title: 7 - <br /> EH Specialist: _ Phone• <br /> Time in: - �O •\S� Time Out: / / Page of <br /> EHD 16-24 (2-Pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />
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