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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160084
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COMPLIANCE INFO_2021
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Last modified
9/8/2021 2:16:48 PM
Creation date
4/16/2021 8:40:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160084
PE
1614
FACILITY_ID
FA0000683
FACILITY_NAME
PRIME PIZZA
STREET_NUMBER
21
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04305013
CURRENT_STATUS
01
SITE_LOCATION
21 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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e A N J O A Q U I N Environmental Health Department <br /> —COUNTY <br /> Greatness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: PRIME PIZZA, 21 W LODI AVE , LODI 95240 <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 is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Gary, manager, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0000683 SR0083531 SC061 04/12/2021 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />
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