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COMPLIANCE INFO_2017
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MICKE GROVE
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11707
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1600 - Food Program
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PR0161935
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COMPLIANCE INFO_2017
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Entry Properties
Last modified
4/20/2020 9:30:56 AM
Creation date
4/20/2020 9:30:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017
RECORD_ID
PR0161935
PE
1635
FACILITY_ID
FA0000284
FACILITY_NAME
FUN TOWN AT MICKE GROVE #4FU5813
STREET_NUMBER
11707
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05910002
CURRENT_STATUS
01
SITE_LOCATION
11707 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SShih
Tags
EHD - Public
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Date: I, <br />Zip Code: <br />Telephone: 13112 1-1 - <br />Inspection Type:Wkic <br />Re-Inspection on or After: <br />City: <br />Owner/Operato : <br />91-12-e <br />Program Element/ 3 5- / <br />1,k1 rki <br />Program Record: e <br />yrs0 Hermit Posted Ves L I <br />r5WC k LL <br />1 /111A 'A, IZP -411/01A1 <br />411 s' <br />7//c Name of Facility: <br />Address: <br />r B180 Posted <br />Temperature <br />- <br />Item I Location <br />t, VV -(A4(, ) <br />Time Out: <br />Phone: <br />31) <br />EHD 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />Food Food Safety Certification Facility Hot Water Temperature <br />Hand Sink: Chlorine: <br />Other: PPm Warewashing Sink: i <br />73.1/01110, <br />Quat. Amm.: <br />Received By / Title7( <br />EH Specialist: <br />Time in: ) 0.1) <br />°F <br />°F <br />°F <br />°F <br />Pagez_pf <br />Warewashing <br />PPm Heat: <br />a atiVGI wavu tk4 .).4/ rtit-Gui dt 441 Ap - <br />SAN JOAQUIN COUN <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orq/ehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />4 <br />/- a/4-74_„ <br />Levva(4. dAt Jte/•c_4k.vtg,. p <br />fig(4. _44v,p4 a/It ifti&vAftb PK/MA-0Y <br />744/14(--
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