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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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864
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1600 - Food Program
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PR0547158
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/3/2021 11:06:50 AM
Creation date
10/27/2021 8:06:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0547158
PE
1614
FACILITY_ID
FA0026757
FACILITY_NAME
CRUMBL COOKIE
STREET_NUMBER
864
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
864 W BENJAMIN HOLT DR
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> .�M C0UT <br /> ikJF05 `1r Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CRUMBL COOKIE, 864 W BENJAMIN HOLT DR , STOCKTON <br /> No Temperature Data Collected <br /> NOTES <br /> Atosa 3D undercounter 39 F <br /> Atosa 1 d 40 F <br /> Atosa 2d <41 F 5 units <br /> Navien water heater 199999 btu <br /> Post sb 180 provided <br /> Ok to issue a permit. Obtain permit prior to operating the business. <br /> Obtain approval from all other agencies with jurisdiction. <br /> PE 1614 <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: <br /> EH Specialist: VIDAL PEDRAZA Phone: <br /> SR0083807 SC523 08/26/2021 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />
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