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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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3143
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1600 - Food Program
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PR0160111
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COMPLIANCE INFO
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Last modified
4/7/2020 1:47:34 PM
Creation date
4/4/2019 10:07:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160111
PE
1625
FACILITY_ID
FA0001769
FACILITY_NAME
MCDONALDS #4643
STREET_NUMBER
3143
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10017005
CURRENT_STATUS
01
SITE_LOCATION
3143 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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SAN _J O A Q U I N Environmental Health Department <br /> C O U N T Y Time In: 10-00 am <br /> Time Out: 10:40 am <br /> c�c Four'¢ GreoIness grows mere. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: MCDONALDS#4643 Date: 01/06/2020 <br /> Address: 3143W BENJAMIN HOLT DR , STOCKTON 95219 <br /> Requestor: HALA IBRAHIM- PROJECT MANAGER, PM DESIGN GROUP INC Telephone: (925)222-1672 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0080548 <br /> Inspection Type: 523-Plan Check/Report Review <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:4 hand wash sinks in the back of the house. One hand wash sink in each restroom.The water is <br /> tempered. Ensure the water temperature in this sinks is 100 F of 108 F. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(17) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Final inspection.The facility has a permit. <br /> 4 hand wash sinks in the back of the house. One hand wash sink in each restroom. 3 comp sink, 2 mop sinks, One <br /> dishwasher. <br /> All refrigeration is maintaining 41 F or below. <br /> The facility is being cleaned. <br /> The dishwasher was tested. Make sure it functions properly before use. <br /> The conveyor will be for packaged food to get it from the back prep area to the front service are. It is made of cleanable <br /> material and will be cleaned once per day.. There is access from the top and the side for cleaning purposes. <br /> The facility must obtain approval to operate/occupied by other jurisdictions. <br /> Ok to open and continue operation. <br /> FA0001769 SR0080548 SC523 01/06/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />
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