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COMPLIANCE INFO_2019
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1600 - Food Program
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PR0540141
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
9/9/2020 4:21:51 PM
Creation date
4/7/2020 3:42:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0540141
PE
1635
FACILITY_ID
FA0022950
FACILITY_NAME
SELF MADE SEAFOOD #4NM5120
STREET_NUMBER
730
Direction
S
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14723003
CURRENT_STATUS
02
SITE_LOCATION
730 S CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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JCastaneda
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EHD - Public
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SAN JOAQUIN COUN'. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q.• ;P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �ikoa� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: // 1 Date: <br /> Address: P L >^ City: Zip Code: <br /> Owner/Operator: J�,, Telephone: <br /> Program Element: Pil� , Program Record: O , t, Inspection Type: <br /> B180 Posted ❑Yes ❑ Permit Posted ❑Yes F,I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 10 Zc <br /> V rti l ? �, 1 544-4c c4 n d ?. ,a e- <br /> In irk �� i '/ t'✓1u: 1 SSS <br /> /fir I C l s I da r do V <br /> rI, r(1 4A S t be ti, ro 1'11 Uril C4n r1 4,c G1 t <br /> (l ry <br /> CA a r �G �✓lIS + G� S 'Se< <br /> .2.sT re$ <br /> u?o I e ss r occ �. ►1 b r� rrr� t' oe re lar <br /> Pre <br /> ----....... <br /> F, Pre W t tie / i o r -IG' 44.S e, <br /> c I 1 <br /> `r 5 of h _ <br /> rAyco .. �o 5 ci c- <br /> N .1c ct e_ 5 ct re, b c,t ec r n,,,J I ce k e <br /> Item/Location Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm ;Heat: of <br /> Exp.Date: arewashing Sink: ) of uat.Amm.: ppm Other: of <br /> Received By/Title: .. <br /> EH Specialist: Phone: 4 L J 6 <br /> Time in: C. Time Out: Page, of <br /> EHD 16-24(2"d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br /> PE /I is <br />
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