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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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GOLDEN VALLEY
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16858
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1600 - Food Program
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PR0528137
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Last modified
5/1/2020 1:57:35 PM
Creation date
1/23/2019 10:36:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0528137
PE
1619
FACILITY_ID
FA0019051
FACILITY_NAME
TARGET T2347
STREET_NUMBER
16858
STREET_NAME
GOLDEN VALLEY
STREET_TYPE
PKWY
City
LATHROP
Zip
95330
APN
191-190-630-000
CURRENT_STATUS
01
SITE_LOCATION
16858 GOLDEN VALLEY PKWY
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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JCastaneda
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EHD - Public
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Pgv�n/ San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �., iP Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 9�ikoR� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: TARGET T2347, 16858 GOLDEN VALLEY PKWY, LATHROP 95330 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Sara Gouzenne Expiration Date:April 09,2019 <br /> Warewash Chlorine(Cl): ppm Heat: 107°F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Bev-air(1-door)--41.00°F Store Displays--41.00°F <br /> Walk-in--41.00°F Bev-air(1-door)--41.00°F <br /> Tyler(2-door)--41.00°F 2-door(prep)--41.00°F <br /> Bev-air(1-door)--41.00°F Trauslen(2-door)--41.00°F <br /> Bev-air(2-door)--41.00°F Walk-in--41.00°F <br /> Walk-in--41.00°F Trauslen(2-door)--36.00°F <br /> NOTES <br /> D/W-170F <br /> Sanitizer spray-200ppm quat <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 /> 4*1/w <br /> Received by: Name and Title: Sara, Executive Team Leader of Log <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0019051 PRO528137 SCO01 05/19/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />
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