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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4343
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1600 - Food Program
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PR0544067
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COMPLIANCE INFO
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Entry Properties
Last modified
5/7/2019 9:39:16 AM
Creation date
1/30/2019 2:29:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544067
PE
1624
FACILITY_ID
FA0025065
FACILITY_NAME
POPPY COFFEE
STREET_NUMBER
4343
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4343 PACIFIC AVE STE A1
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Time In: 9:20 am <br /> Time Out: 9:40 am <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fan: (209) 464-0138 Web:www.sjgov.or_/q ehd <br /> 'FOR <br /> Food Program Service Request Inspection Report <br /> Name of Facility: POPPY COFFEE Date: 01/22/2019 <br /> Address: 4343 PACIFIC AVE , STOCKTON 95207 <br /> Requestor: BERNICE P NICKOLS, CONSTRUCTION DESIGN CONSULT Telephone: (209)474-9179 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0079604 <br /> Inspection Type: 523 - Plan Check/Report Review <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Ok to issue permit once fee is paid. Program 1624 Fee $355. Return to office before opening <br /> All work is up to code <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. U Vk� Name and Title: Paige woodward, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0008108 SR0079604 SC523 01/22/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />
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