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COMPLIANCE INFO_2025
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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PR2400411
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
4/7/2026 4:28:29 PM
Creation date
4/7/2026 4:07:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR2400411
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0001667
FACILITY_NAME
DAY OF THE DEAD BLOCK PARTY IN MOUNTAIN HOUSE
STREET_NUMBER
25
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
25 E MAIN ST MOUNTAIN HOUSE 95391
Tags
EHD - Public
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Environmental Health Department <br />Mobile Food Facility Official Inspection Report Mobile Food Facility Official Inspection Report <br />o> !««, CONFETEAIHM. <br />AdOms W SUNION ST STOCKTON 95206 <br />CMWOowMor CONFETEAK240MV1 <br />F9oq.NnEI.ni.nl 16M - MOCItE FOOO PREPARATION UNIT IMFPUl <br />inspection type Routine Re •nspecton on at affiM <br />Ml RuiRS»n|SI»HMI«ir. Appra».d>«onowl>wlc» <br />OSSf RVADONS. Th. *MSe wMn outw V.N. IKAs a dp Pionde a cap Ra m. nasi. Mte. overt van. by ’ <br />] <br />Ware S— te-rc - >»CA0V.1O1 <br />IM(O*i <br />115 <br />2 doa Cno*er Opol prep - W » a^var*w3 rneil frw/a« - 7“ f atvenhed <br />Routine ntpectMxt uxa^uOed at Tracy W«KO partung lot <br />cNonne and chk>n<w wn®w test ttnpe are avaAab* <br />flsansed Java frcao owner s spoRecr.-.e<1 by Narre and T,Oe <br />KADE ANMi itfecARES |?09 6>6-3C?0Eh Speckam Pnone <br />OK to petrM tor 2025 <br />MpM. I OR <br />f 209 4M-CT38 I **« Hgv, o«uEffOf •<> <*.’3 <br />166SE t eener. Avw^. 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CA9511' <br />iSS^*'0! fes? <br />CAtCOCf DESCRrPDON The pc<st»e water supply shad be prcAected adb a bacAfton or t**O s.pnonaQ«i proUx.txx* device, as <br />loqu'FJ ty M’fX*«&»• a»» | H41 W| AB pu*nb<n<j amj pAxntang r.stires s»mi t» nueied n corr^iet <e wttn lotM <br />C<'.nib<nq o»airjnc<ts ahafl be maertwred so «to pre^tit any twilamzuitor and stmt be »ept ctear. fu3» oj—f j'ivo and m <yx«l <br />rector Ary hAM used for conwyog potaCM •x*’ »h»T be Ot approved rtoteruM. iab**J fnsperly stored and used for no odw* <br />^rpoM (IMIfl 114)09 1 114190 114193 114193 1 114199 H4201 1142091 <br />CERTIFICATE HOLDER <br />Uo.^On C harrier Ccvp <br />.’12 W Prcrtfxr.dad Wry <br />u.>z-r>r Hpote Ca esni <br />___________________________________________________WtXATTOto ANO CORCTCTW1 KCTTOrtS________________________________ <br />M-s totos on vet •wr’ *» voWK-ne 9a Per -ee« r. xKj.-rr-ert-s wr Vrr» « re €*-*'■’<* Hm9> a •: EaM, Code crK-"wrt<x-j moot r <br />HJW AMerMtenerrutT tecer-wdM rr-'KwcAed tre*-**— V»ex>ni Feraectettdedat *7~>~W'M<e meattepuCK *eaF» <br />e«d neve re aorwew n e*v»e toMbxre eew Ar .«Axen> -vf te reecNd r-rede»> r-ovcxvAence me, r>vne»e*e <br />c*uue cfffw teeef, <br />orscmrnoM o» ort«»!OM. toe*text. <t»*<n iacovo tei. aeawenai un <br />• Cr«lK«.He Hc«dvr ts MounOn Hout* Chamber Corp Ths CerlrfxXf Motor* h . <br />r-ius IndC'senM-e Oererji Lut»Hv<cxefa«e app'«% 'i- <«*•M<*-4 m C/4cr"J <br />: ft Male a-lthr r^rd and xe lutyeH to pc>cy terms fM rcrCdeyH <br />jt« Addn <»'•» hAured a <br />Al Ad.lV-.r-al f j <br />i on the General lab-lty po «y p*» ••* Add-t-mal Insured Au'omatic <br />t l>< v<r4vs Mi-Y orly <• 'rtjt. fl tr» Cm Af/evmr-X I*-/-?* r* <br />___________________________I <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS <br />CERTIFICATE DOES NOT AFFNMATIYELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE OWING INSUR£R($) AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER <br />IMPORTANT If the certiftute bolder is an ADDITIONAL INSURED, the pohcy(le«| tnuel have ADDITIONAL INSUMD provlsfom or be endowed <br />If SUBROGATION IS WAIVED, subject to the lerms and condnions of the pohey, certain policies may require an ondorMment A aMoment on <br />INs cenihcato does not confer rights io tha cmtiOcale holder In lieu of such »rxNxs»meni(s>______________________________________________________________ <br />mooucia <br />Nert »rM iestzantc *<mty. *< <br />n>8«« <br />FatoNto. CA «MKX <br />3?rUn fr <br />r U <>£•• MTabCWWI <br />I Telephone (4081509-0523 <br />I FacAtr Name and Address CONFETEA >240M» 1 171 ? S UNiQN S1 STOCKTON 9M06 <br />j Date OV152025 <br />Sr __ <br />JaJJSJijy v-ppc*tnrw«umu*wxecc»T» <br />COVERAGES_________________________CERTtflCATE NUMBER:: >^’1 >i________________________________________REVISION NUMBER:________________________ <br />fits IS TO Cf-ATifY THAT THC POLlC-tS CX INSu«UNC4 Li5TLD BtLOW HAvT GCLN ISSUID TO THE INSURED HAULD ABOVE <OH T-< ^XXCY PIR>C© <br />BSOCATIP NOTWITHSTANDING ANY RLQUWfMLNt TtMU c« CC*WICW O AN* CONTRACT OM OOCR DOCUMENT Will RLSFtCT TO WMC»1 THIS <br />CERTtnCATF MAY ftf ISSUED O« MAr PERTAIN TMf WSURANCE AFF0W4D f»* >*< POUOCS DCSCRBED KREIN SUBJECT TO ALL THE TERMS <br />EXCLUSIONS ANOCCNCiTtCNSO* SuCm POOClES tAflTS SHOWN MAY HAVf Bff N REDUCED B* PA© Cl AiMS <br />TS r^orms^t <br />I | COteeenCMLCMAALLMOArtr CA^tOXumsci I'COOOCCOO <br />CAAU.-4 lOWvrfO IWMMIflrvxxHrKW) HW.C‘W.00 <br />sadisp^ar-petma 115,00 M <br />H.OOQDCOOQ <br />1200000000 <br />riwoucn ow.vux. 12.00009309
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