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COMPLIANCE INFO_2019
EnvironmentalHealth
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1600 - Food Program
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PR0542152
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COMPLIANCE INFO_2019
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Last modified
4/20/2020 10:32:46 AM
Creation date
4/20/2020 10:32:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0542152
PE
1633
FACILITY_ID
FA0024210
FACILITY_NAME
JOLTS! COFFEE BAR #4RD1381
STREET_NUMBER
1133
STREET_NAME
POWELL
STREET_TYPE
CT
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
1133 POWELL CT
P_LOCATION
03
QC Status
Approved
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Tags
EHD - Public
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SAN JOAQUIN <br />Environmental Health Department <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address: JOLTS! COFFEE BAR #4RD1381, 1133 POWELL CT, TRACY 95304 <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: <br />EH Specialist: KADEANNE LINHARES <br />Name and Title: Carol Zuro, owner <br />Phone: (209) 468-0330 <br />FA0024210 PRO542152 SC001 03/29/2019 <br />D 16-23 Rev. 06/30/15 Page 2 of 2 Mobile Food Facility OIR <br />1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com
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