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COMPLIANCE INFO_COMPLIANCE INFO 2020
EnvironmentalHealth
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1600 - Food Program
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PR0518424
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Entry Properties
Last modified
6/5/2020 10:38:24 AM
Creation date
4/15/2020 8:41:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0518424
PE
1625
FACILITY_ID
FA0013898
FACILITY_NAME
MIMOSAS GOURMET
STREET_NUMBER
117
Direction
W
STREET_NAME
ELM
City
LODI
Zip
95240
APN
04302415
CURRENT_STATUS
01
SITE_LOCATION
117 W ELM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN Environmental Health Department <br /> IJ NIT Y_ Time In: 9.30 am <br /> ry Time Out: 10:15 am <br /> Sc,Fozxt'' Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: MIMOSAS GOURMET Date: 03/25/2020 <br /> Address: 117 W ELM ST , LODI 95240 <br /> Requestor: YUSAY IBARRA, MIMOSAS GOURMET Telephone: (408)666-4290 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0081927 <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:Hand sink in the kitchen lacks paper towel in dispenser; hand sink in the serving area lacks soap in <br /> dispenser. Handwashing facility shall be provided with handwashing cleanser and sanitary single-use towels in dispensers. <br /> Provide soap and paper towel immediately. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(1)) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:There is no air gap between the discharge pipe from prep sink and floor sink next to warewashing <br /> machine. Provide a minimum 1 inch air gap between the end of discharge pipe and the flood rim of the floor sink. Correct <br /> today. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances, shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1-Door Avantco--Kitchen--41.00°F Hand Sink--Restroom--100.00°F <br /> Walk in--Kitchen--41.00°F 2-Door True--Bar--41.00°F <br /> 2-Door True Prep cooler--Kitchen--41.00°F Hand Sink--Kitchen--100.00°F <br /> 3-Door Urbuai Cooler--Kitchen--41.00°F <br /> NOTES <br /> Change of ownership inspection conducted this date. Inspection report was discussed with Yusay Ibarra,408-666-4290. <br /> FA0013898 SR0081927 SC061 03/25/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />
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