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EHD Program Facility Records by Street Name
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KELLEY
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8102
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1600 - Food Program
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PR0160219
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COMPLIANCE INFO
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Entry Properties
Last modified
6/18/2020 1:05:27 PM
Creation date
1/23/2019 10:42:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160219
PE
1614
FACILITY_ID
FA0002770
FACILITY_NAME
209 PIZZA
STREET_NUMBER
8102
STREET_NAME
KELLEY
STREET_TYPE
DR
City
STOCKTON
Zip
95209
APN
07427011
CURRENT_STATUS
01
SITE_LOCATION
8102 KELLEY DR STE H2
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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AQ�!N San Joaquin County <br /> H % Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> q�/Fd.RN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: PEPPERONIS, 8102 KELLEY DR, STOCKTON 95209 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: TarekAbdulbawab Expiration Date:April 21,2015 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 106°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> mopsink-- 120.00°F 3 door reach-in-- under pizza prep--41.00°F <br /> hand sink--restroom-- 106.00° F 3 comp-- 119.90°F <br /> mopsink-- 120.00°F <br /> NOTES <br /> No comment entered. <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: tark, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209) 468-9851 <br /> FA0002770 PRO160219 SCO01 10/21/2015 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />
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