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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SAN JOAQUIN
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1600 - Food Program
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PR0515476
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COMPLIANCE INFO_2023
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Last modified
5/25/2023 10:29:43 AM
Creation date
5/25/2023 10:28:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0515476
PE
1632
FACILITY_ID
FA0012171
FACILITY_NAME
SENIOR COFFEE SHOP-HSA
STREET_NUMBER
102
Direction
S
STREET_NAME
SAN JOAQUIN
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
102 S SAN JOAQUIN ST FL 5TH
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: SENIOR COFFEE SHOP-HSA, 102 S SAN JOAQUIN ST, STOCKTON 95202 <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 /> 400 <br /> 109 <br /> 100 <br />Needed <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Food hot-holding cabinet -- 147.00º F LG cooler -- 38.00º F <br />Atosa 2-dr cooler -- 36.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No major violations. <br />Print and maintain a copy of the most current inspection report on-site. <br />Note: The signature of the person receiving the inspection report was not obtained during the inspection. <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) 561-8923 <br />, <br />CLAUDIA MURO <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0012171 PR0515476 SC001 05/22/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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