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COMPLIANCE INFO_COMPLIANCE INFO 2016
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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1600 - Food Program
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PR0515659
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COMPLIANCE INFO_COMPLIANCE INFO 2016
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Last modified
5/14/2020 1:39:50 PM
Creation date
5/14/2020 1:10:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2016
RECORD_ID
PR0515659
PE
1623
FACILITY_ID
FA0012270
FACILITY_NAME
BUBBLE LEAF
STREET_NUMBER
526
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
08126041
CURRENT_STATUS
01
SITE_LOCATION
526 W BENJAMIN HOLT DR STE A
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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JCastaneda
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EHD - Public
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4�!N San Joaquin County <br /> 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 /> ��FOR <br /> Food Program Official Inspection Report <br /> Facility Name and Address: JITTER JOLT,526 W BENJAMIN HOLT DR, STOCKTON 95207 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Raechelle Peregrine Expiration Date: November 14,2017 <br /> Warewash Chlorine(CI): 100 ppm Heat: OF Water/Hot Water Ware Sink Temp °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp. °F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> 2 door blue air--36.00°F <br /> NOTES <br /> Observed food being cooked. Per owner it's for personal use only. <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: Raechelle Peregrino, Owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0012270 PR0515659 SCO01 02/12/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />
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