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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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PR0160119
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COMPLIANCE INFO
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Entry Properties
Last modified
5/22/2020 2:30:20 PM
Creation date
4/19/2019 1:46:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160119
PE
1626
FACILITY_ID
FA0000569
FACILITY_NAME
LUU'S CHICKEN BOWL #4
STREET_NUMBER
920
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06004007
CURRENT_STATUS
01
SITE_LOCATION
920 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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San Joaquin County <br /> 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 /> %i=ids, <br /> Food Program Official Inspection Report <br /> Facility Name and Address: ADALBERTACOS MEXICAN FOOD, 920 W KETTLEMAN LN, LODI 95240 <br /> OVERALL INSPECTION COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Lilia Ortiz Expiration Date: February 20,2018 <br /> Warewash Chlorine(CI): 100 ppm Heat: OF Water/Hot Water Ware Sink Temp 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Tema 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> beef--steam table— 160.00°F air--walk-in--41.00°F <br /> cheese--2 door prep--41.00°F air—2 door prep--38.00°F <br /> rice--steam table--135.00°F <br /> NOTES <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: Jorge ortiz, manager <br /> EH Specialist: NICHOLAS WIESEMAN Phone: (209)468-3445 <br /> FA0000569 PRO160119 SC001 03/03/2015 <br /> EHD 16-23 Rev.01/30/15 Page 2 of 2 Food Program OIR <br />
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