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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161805
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COMPLIANCE INFO
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Last modified
5/22/2020 2:14:10 PM
Creation date
1/23/2019 11:27:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0161805
PE
1625
FACILITY_ID
FA0000452
FACILITY_NAME
POPEYES #11833
STREET_NUMBER
612
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
LODI
Zip
95240
APN
06206041
CURRENT_STATUS
01
SITE_LOCATION
612 E KETTLEMAN Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Pa�'y San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> ��/FORa <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: NORCAL CAJUN FOODS II POPEYES, 612 E KETTLEMAN LN , LODI 95240 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Tisha Bautista Expiration Date: May 17,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 104°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 comp sink--124.00°F Hand sink--women rest room--66.00°F <br /> Hand sink -By walk in--101.00°F raw eggs--reach in--37.00°F <br /> hand sink- drive thru--109.00°F Hand sink--men RR--102.00°F <br /> 1 door reach in--45.00°F 1 D Delfield--41.00°F <br /> fried chicken--warmer--162.00°F Macaroni cheese--Hot Hold--162.00°F <br /> Walk in cooler--41.00°F Mashed potatoes--Hot Hold--142.00°F <br /> Mop sink--125.00°F <br /> NOTES <br /> One live roach was observed at the manager's desk. provide pest control periodically. <br /> Sanitizer buckets were set up QUAT 300 ppm. <br /> Okay to issue permit once the fee ($376) is paid. <br /> PE 1625 <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 /> /I-s-H7^ <br /> Received by: Name and Title: tisha bautista, manager <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0000452 SR0078675 SC061 02/21/2018 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program Service Request Inspection Report <br />
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