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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0547158
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COMPLIANCE INFO_2022
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Last modified
11/3/2022 12:47:18 PM
Creation date
11/3/2022 12:46:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
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
Scanner
SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: CRUMBL COOKIE, 864 W BENJAMIN HOLT DR, STOCKTON 95207 <br />Food Program Official Inspection Report <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 200 <br /> 124 <br /> 101 <br />Katherine Bertilacchi August 16, 2026 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Prep sink -- 122.00º F Hand sink -- Restroom -- 101.00º F <br />Two door Atosa reach-in cooler -- Back wall-right side -- 41.00º F Hand sink -- Back -- 120.00º F <br />Two door Atosa reach-in cooler -- Warewashing area-right side -- <br />40.00º F <br />Three door reach-in cooler -- 41.00º F <br />Two door Atosa reach-in cooler -- Warewashing area-left side -- <br />35.00º F <br />Two door Atosa reach-in cooler -- Back wall-left side -- 36.00º F <br />One door Atosa reach-in cooler -- Non-PHF -- 51.00º F Two door Atosa reach-in cooler -- Center-right side -- 39.00º F <br />Two door Atosa reach-in cooler -- Center-left side -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. No major violations identified. Time was given for correction of minor violations. No re-inspection. <br />Discussed report with Natalie Perez (Manager). Official inspection report was emailed to the operator. <br />Maintain a copy of official inspection report on-site. <br />To minimize person-to-person contact, the signature of the person receiving the inspection report was not captured. <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:Phone:(209) 616-3046 <br />, <br />LYDIA BAKER <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0026757 PR0547158 SC001 11/03/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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