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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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1600 - Food Program
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PR0547353
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COMPLIANCE INFO_2022
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Last modified
12/1/2022 10:42:42 AM
Creation date
3/1/2022 3:07:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547353
PE
1633
FACILITY_ID
FA0026911
FACILITY_NAME
SOFT AS SNOW #4SS8126
STREET_NUMBER
2210
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2210 COUNTRY CLUB BLVD
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 />Facility Name and Address: SOFT AS SNOW #4SS8126, 2210 COUNTRY CLUB BLVD, STOCKTON 95204 <br />Mobile Food Facility 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 /> 124 <br /> 100 <br />needed <br />OVERALL INSPECTION NOTES AND COMMENTS <br />No Temperature Data Collected <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />LIC 4SS8126 <br />Facility sells snow cones and hot dogs. <br />Discussed report with operator. <br />No signature captured. <br />Report handed to operator. <br />Maintain a copy of this report on site when operating. <br />Ok to issue permit for 2023 once permit fee is paid. <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) 616-3035 <br />, <br />DARIA AFONSKAIA <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Mobile Food Facility OIR <br />FA0026911 PR0547353 SC001 11/30/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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