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1600 - Food Program
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PR0541010
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COMPLIANCE INFO
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Entry Properties
Last modified
5/22/2020 4:48:43 PM
Creation date
4/4/2019 2:12:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0541010
PE
1625
FACILITY_ID
FA0023475
FACILITY_NAME
KENTUCKY FRIED CHICKEN #120 (LODI, CA)
STREET_NUMBER
2712
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2712 W Kettleman Ln
P_LOCATION
02
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN J O A Q U I N Environmental Health Department <br /> C_uoAIY <br /> •- Time In: 11:52 am <br /> GrPOCnt'ss glows firer <br /> Time Out: 12:15 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: KENTUCKY FRIED CHICKEN#120(LODI, CA) Date: 01/12/2018 <br /> Address: 2712 W Kettleman Ln, LODI 95242 <br /> Owner/Operator: GARNER 120, INC. Telephone: (916)553-2267 <br /> Program Element: 1625-RESTAURANT/BAR 51-100 SEATS <br /> Inspection Type: INSPECTION/REINSPECTION 1 hr minimum <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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Observed slight ice debris on flooring in walk-in freezer. Clean . <br /> (Repair person to address today. ) <br /> Observed debris in warmer that holds corn on the cob. Clean. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <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: Suzanne Banasihan, RGM <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0023475 PRO541010 SC333 01/12/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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