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CO0055754
Environmental Health - Public
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1600 - Food Program
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CO0055754
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Entry Properties
Last modified
4/21/2023 2:23:36 PM
Creation date
4/21/2023 2:06:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0055754
PE
1600
FACILITY_ID
FA0000369
STREET_NUMBER
514
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
ENTERED_DATE
4/10/2023 12:00:00 AM
SITE_LOCATION
514 W LODI AVE
RECEIVED_DATE
4/10/2023 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\bmascaro
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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: <br />EH Specialist: DARIA AFONSKAIA Phone: (209) 616-3035 <br />FA0000369 C00055754 SC004 04/13/2023 <br />END 16-23 Rev. 04/07/22 <br />Page 2 of 2 Complaint Inspection Report <br />1868 E. HazeIton Avenue I Stockton, California 95205 I T 209 468-3420 F 209 464-0138 I www.sjgov.org/ehd
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