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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CUPPAJO COFFEE, 2626 PACIFIC AVE , STOCKTON 95204 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> admiral cooler--sink area--37.00°F Sanyo--cart area--41.00°F <br /> NOTES <br /> Ok to issue permit once fee is paid. Return to office today. <br /> Program 1681 Fee$237 <br /> Equipment:40 gallon Bradford White 40,000 BTU unit, mini 3 comp sink and hand sink at ware washing, hand sink at coffee <br /> prep area (2 comp is for employee use)and 1 rest room <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: Raziel Pelaez&Monica Oden, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0026571 SR0084403 SC061 11/09/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />