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COMPLIANCE INFO_COMPLIANCE INFO 2020
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Last modified
5/22/2020 2:47:01 PM
Creation date
4/15/2020 9:21:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0507811
PE
1623
FACILITY_ID
FA0007772
FACILITY_NAME
NIXON'S DELI
STREET_NUMBER
1040
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06004019
CURRENT_STATUS
02
SITE_LOCATION
1040 W KETTLEMAN LN STE 6
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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JCastaneda
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EHD - Public
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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Food Program Official Inspection Report <br />Facility Name and Address: NIXON'S DELI, 1040 W KETTLEMAN LN, LODI 95240 <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 126 <br /> 100 <br />Kimberly Nixon November 06, 2017 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />3 comp -- 126.00º F hand sink -- 100.00º F <br />prep sink -- 121.00º F mop sink -- 120.00º F <br />2 door display -- 41.00º F hand sink -- restroom -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Observed food handler card. <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: <br />EH Specialist:Phone:(209) 468-9851 <br />jeremy Espinosa, <br />STEPHANIE RAMIREZ <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0007772 PR0507811 SC001 02/06/2017
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