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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LAKEWOOD MALL
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1321
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1600 - Food Program
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PR0162570
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COMPLIANCE INFO
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Entry Properties
Last modified
6/7/2022 8:59:02 AM
Creation date
12/7/2018 6:22:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0162570
PE
1623
FACILITY_ID
FA0000422
FACILITY_NAME
DRAGON LITE DELI
STREET_NUMBER
1321
STREET_NAME
LAKEWOOD MALL
City
LODI
Zip
95242
APN
03534009
CURRENT_STATUS
01
SITE_LOCATION
1321 LAKEWOOD MALL
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\jcastaneda
Supplemental fields
FilePath
\MIGRATIONS\L\LAKEWOOD\1321\PR0162570\COMPLIANCE.PDF
QuestysFileName
COMPLIANCE
QuestysRecordDate
2/18/2016 5:12:10 PM
QuestysRecordID
3008589
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Pquin/ San Joaquin County <br /> a. Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., ;a• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �rFORN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DRAGON LITE DELI, 1321 LAKEWOOD MALL , LODI 95242 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Mary Jin Lee Expiration Date: November 18,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 116°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--Women's restroom--114.00°F hand sink--Men's restroom--119.00°F <br /> 3 comp--116.00°F prep sink--116.00°F <br /> 2 door Tru refrigerator--dry storage--41.00°F hand sink--kitchen--113.00°F <br /> 3 door under prep table--41.00°F walk-in--48.00°F <br /> NOTES <br /> sanitizer buckets 100ppm (chlorine) <br /> Observed food handler cards. <br /> Note: Observed new flooring in restroom that is shared with Mall and other tenants. <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 /> e-11"q-1 <br /> Received by: Name and Title: mary jin, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0000422 PRO162570 SCO01 06/01/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />
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