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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0539467
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COMPLIANCE INFO
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Entry Properties
Last modified
6/5/2020 2:59:05 PM
Creation date
3/12/2019 9:30:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0539467
PE
1632
FACILITY_ID
FA0022564
FACILITY_NAME
SJ C OFFICE OF ED-COSP WAREHOUSE
STREET_NUMBER
2619
STREET_NAME
LYCOMING
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
17924017
CURRENT_STATUS
01
SITE_LOCATION
2619 LYCOMING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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oR��,ttY San Joaquin County <br /> -TYZa 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 /> Food Program Official Inspection Report <br /> Facility Name and Address: SJ C OFFICE OF ED-COSP WAREHOUSE, 2619 LYCOMING WAY, STOCKTON 95206 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate James Christenson Expiration Date: January 18,2018 <br /> Warewash Chlorine(CI): ppm Heat: °F Water/Hot Water Ware Sink Temp 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 100°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> Mop sink-- 120.00° F Walk in cooler--41.00°F <br /> NOTE <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: �'_ K " Name and Title: James Christensen, Warehouse Nutt <br /> EH Specialist: LEYNA HUYNH Phone: (209) 468-3446 <br /> FA0022564 PRO539467 SCO01 12/1V2015 <br /> EHD 16-23 Rev.06130/15 Page 2 of 2 Food Program OIR <br />
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