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CO0054371 (2)
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1600 - Food Program
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CO0054371 (2)
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Last modified
2/7/2022 3:12:43 PM
Creation date
2/7/2022 2:42:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0054371
PE
1600
FACILITY_ID
FA0025065
FACILITY_NAME
POPPY COFFEE
STREET_NUMBER
4343
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11024033
ENTERED_DATE
10/18/2021 12:00:00 AM
SITE_LOCATION
4343 PACIFIC AVE STE A1
RECEIVED_DATE
10/18/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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ft <br /> Complaint Investigation Summary Report #. 5105 <br />COMPLAINT ID: C00054371 Site Location: 4343 PACIFIC AVE STE Al <br />Received by: EE0004589 LINHARES <br /> Received Date: 10/18/2021 Complaint Received Via: PHONE <br />Assigned To: EE0003361 FLOHRSCHUTZ <br /> <br />Assigned Date: 10/18/2021 <br />Program/Element Code 1600 - FOOD PROGRAM <br />Nature of complaint: <br />EMPLOYEE CUT HER HAND ON THE SLICER. OWNER DID NOT HAVE EMPLOYEES DISCARD POTENTIALLY CONTAMINATED FOOD OR <br />CLEAN EQUIPMENT (BLOOD WAS JUST WIPED OFF WITH A PAPER TOWEL). FACILITY ALSO LACKS THE 5 YEAR FOOD SAFETY <br />CERTIFICATE. <br />PROPERTY INFORMATION <br />Facility: FA0025065 - POPPY COFFEE <br />Site Location 4343 PACIFIC AVE STE Al <br /> District 002 - MILLER, KATHERINE <br />STOCKTON, CA 95207 <br /> Location Code 01 - STOCKTON <br />Cross Street <br /> APN 11024033 <br />Complaint Status: <br />Date Abated: (0 -(A-/- Abated By: ..-7)/ )9-60 klc../1-e-t <br />Activity Summary <br />Activity Date Recorded by <br />10/21/2021 Complaint see official inspection report FLOHRSCHUTZ <br />Unable to verify <br />Report emailed to poppycoffee209@gmail.com <br />5105.rpt <br />Page 1 of 1
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