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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0541307
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Entry Properties
Last modified
5/22/2020 3:19:34 PM
Creation date
6/6/2019 2:31:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0541307
PE
1623
FACILITY_ID
FA0023664
FACILITY_NAME
EPIC NUTRITION
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
1110 W KETTLEMAN LN STE 12
P_LOCATION
02
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Time In: 11-03 am <br /> Time Out: 12:13 pm <br /> �P"O.WN' P San Joaquin County <br /> .X 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 /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: THRIVE HEALTH &WELLNESS Date: 09/26/2016 <br /> Address: 1110 W KETTLEMAN LN , LODI 95240 <br /> Requestor: KAREN BAUMGARTNER,THRIVE HEALTH&WELLNESS Telephone: (209)329-7749 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0075820 <br /> Inspection Type: 061 -CONSULTATION <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 /> 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: 112°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 105°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> restroom hand sink--hand sink(Men's)--101.00°F restroom hand sink--hand sink(Women's)--106.00°F <br /> NOTES <br /> Facility opened without plan submittal. <br /> Food manager certificate is lacking. Provide a copy within 60 days. <br /> Mop sink is lacking. Provide mop sink with hot and cold water. <br /> Observed stained concrete flooring 3/8"minimum radius coving is lacking. Provide flooring with a minimum 3/8"inch radius <br /> coving that extends a minimum of 4"up the wall. <br /> Observed water heater that is 4500w double element non-simultaneous. Provide a water heater with a water demand of a <br /> minimum of 8kw. <br /> Observed ice machine that has waste water pipe that extends into the floor drain. Provide so that waste water drains to a floor <br /> sink or other approved device by an indirect means. <br /> (floor sink etc). <br /> Observed products stored in storage room near cleaning supplies. Store products in a different location. <br /> Facility is closed. Operator to call when items are corrected for follow up. <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: karen baumgartner, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> SR0075820 SC061 09/26/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />
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