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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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29250
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1600 - Food Program
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PR0163094
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COMPLIANCE INFO_2020
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Last modified
11/19/2024 3:59:43 PM
Creation date
4/3/2020 11:04:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0163094
PE
1623
FACILITY_ID
FA0000054
FACILITY_NAME
BACKWOODS BURGERS LLC
STREET_NUMBER
29250
Direction
E
STREET_NAME
STATE ROUTE 120
City
ESCALON
Zip
95320
APN
22925030
CURRENT_STATUS
01
SITE_LOCATION
29250 E HWY 120
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: , 29250 E HWY 120 , ESCALON <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 134°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 128°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Mop sink--134.00°F Walk in cooler--41.00°F <br /> Steam table--Cook line--186.00°F 3 D reach in cooler/under prep table--Cook line 40.00°F <br /> Hand sink--Left side rest room--100.00°F Hand sink--Right side rest room--117.00°F <br /> NOTES <br /> Change of ownership inspection. <br /> QUAT dispenser is installed at the 3 comp sink. Facility will have 6 seats as per new operator. <br /> Okay to operate. <br /> Obtain permit prior operating business. <br /> PE 1623 $350 to be paid for the new health permit under the new ownership. <br /> 5021 form needs to be updated. <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: William Sinodinos, New owner <br /> EH Specialist: GEHANE FAHMY Phone: (209)468-3420 <br /> SR0082540 SC061 09/10/2020 <br /> EHD 16-23 Rev.8/18/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />
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