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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160288
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COMPLIANCE INFO
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Entry Properties
Last modified
5/22/2020 2:37:10 PM
Creation date
7/24/2019 8:19:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160288
PE
1618
FACILITY_ID
FA0000119
FACILITY_NAME
CVS Pharmacy #9243
STREET_NUMBER
1000
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06004020
CURRENT_STATUS
01
SITE_LOCATION
1000 W Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl : 128 pm <br /> ^'•ti7F Opt�� Greotness grows here. <br /> Timee OOutut: 1:59 am <br /> Food Program Official Inspection Report <br /> Name of Facility: CVS Pharmacy#9243 Date: 06/19/2019 <br /> Address: 1000 W Kettleman Ln, LODI 95240 <br /> Owner/Operator: LONGS DRUG STORES CALIFORNIA, L.L.C. Telephone: (401)765-1500 <br /> Program Element: 1618-RETAIL MKT>2000 SQ FT (PREPKGD/LTD PREP) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Men rest room--73.00°F Hand sink--Women rest room--105.00°F <br /> Mop sink--139.00°F Walk in cooler--41.00°F <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: Brandy Patterson,Assistant store ma <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0000119 PRO160288 SCO01 06/19/2019 <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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