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r S � OAQUIN Environmental Health Department <br /> -COUNTY <br /> Grrarness grows here. <br /> Service Request Inspection Report <br /> Name of Facility: Lily Bean Coffee Date: 08/12/2024 <br /> Address: 1717 S Union ST , STOCKTON 95206 <br /> Requestor: Telephone: ()- <br /> Program Element: 1603- FOOD VEHICLE INSPECTION Request#: AP2400867 <br /> Inspection Type: 2160- Field Activity/Other Inspection <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> New Compact MFF <br /> Lily Bean Coffee <br /> LIC#4VX4129 <br /> VIN#...022460 <br /> Insignia obtained. <br /> Registration and commissary letter provided. <br /> Cart don't have 3 comp sink to wash utensils during operation. Operator will provide many utensils to be washed after operation in <br /> their commissary that provide this service. <br /> As Compact MFF, overnight parking is allowed at the operator residence(Front Yard). <br /> Chlorine/QUAT wipes will be used to sanitize food contact surfaces during operation. <br /> Okay to issue the permit of 2024 once fee is paid. <br /> PE 1633$189 to be paid for the new permit. <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: Lilia Diaz, Operator <br /> EH Specialist: GEHANE FAHMY Phone: (209)616-3052 <br /> AP2400867 SC2160 08/12/2024 <br /> EHD Rev.09/16/2020 Page 1 of 1 Service Request Inspection Report <br />