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COMPLIANCE INFO_2015-2019
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PR0161453
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COMPLIANCE INFO_2015-2019
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Last modified
7/29/2020 1:10:56 PM
Creation date
6/20/2019 8:59:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2019
RECORD_ID
PR0161453
PE
1619
FACILITY_ID
FA0001457
FACILITY_NAME
COLLEGEVILLE MARKET & CAFE
STREET_NUMBER
13521
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18306007
CURRENT_STATUS
01
SITE_LOCATION
13521 E MARIPOSA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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pc41�"!• �. San Joaquin County <br /> q Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> Food Program Official Inspection Report <br /> Facility Name and Address: COLLEGEVILLE MARKET& CAFE, 13521 E MARIPOSA RD, STOCKTON 95215 <br /> OVERALL INSPECTION COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION --TEMP°F --COMMENTS <br /> No Temperature Data Collected <br /> NOTE <br /> -Food handler cards on site <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: Philip Mathew, Co Owner <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> FA0001457 PRO161453 SC333 03/18/2015 <br /> EHD 1623 Rev.O V30N15 Page 2 of 2 Food Program OIR <br />
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