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COMPLIANCE INFO_COMPLIANCE INFO 2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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SQN_ loMIN Environmental Health Department <br /> ( TI ,*..+. ' COUNTY <br /> Greatness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: BUBBLES N BIRDS, 117W ELM , LODI 95240 <br /> Walk in cooler—41.00°F Mop sink--120.00°F <br /> Prep sink--127.00°F Hand sink--By the dry storage area--132.00°F <br /> Hand sink--Rest room 2--126.00°F 3 comp sink—Bar—128.00°F <br /> 2 D cooler--Bar—41.00°F Hand sink--Rest room 1--115.00°F <br /> Hand sink—Bar--124.00°F Hand sink--Dining—120.00°F <br /> NOTES <br /> Change of ownership inspection. <br /> Chlorine and QUAT test strips are available. <br /> Bar dish washer has chlorine 50 ppm. <br /> Okay to operate.Obtain permit before operating. <br /> PE 1625 $376 to be paid for the new permit under the new ownership. <br /> ryy <br /> w� <br /> kl'7r <br /> 617 <br /> k7i <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: billy devore,Owner <br /> EH Specialist: GEHANE FAHMY Phone: _(209)953-7698 <br /> FA0013898 SR0080626 SCO61 06/11/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />
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