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CO0054014 (2)
Environmental Health - Public
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1600 - Food Program
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CO0054014 (2)
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Last modified
8/25/2021 2:15:55 PM
Creation date
8/25/2021 1:44:29 PM
Metadata
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Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0054014
PE
1600
FACILITY_ID
FA0002725
FACILITY_NAME
CHURCHS CHICKEN #5773
STREET_NUMBER
8023
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
08818007
ENTERED_DATE
7/7/2021 12:00:00 AM
SITE_LOCATION
8023 WEST LANE
RECEIVED_DATE
7/7/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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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: Carlos Salazar, manager, <br />EH Specialist: STEPHANIE RAMIREZ Phone: (209) 616-3069 <br />FA0002725 C00054014 SC004 07/21/2021 <br />EHD 16-23 Rev. 01/07/2021 <br /> Page 2 of 2 Complaint Inspection Report <br />1868 E. Hazelton Avenue 1 Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/ehd
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