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COMPLIANCE INFO_2017
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MICKE GROVE
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1600 - Food Program
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PR0161935
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COMPLIANCE INFO_2017
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Last modified
4/20/2020 9:30:56 AM
Creation date
4/20/2020 9:30:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017
RECORD_ID
PR0161935
PE
1635
FACILITY_ID
FA0000284
FACILITY_NAME
FUN TOWN AT MICKE GROVE #4FU5813
STREET_NUMBER
11707
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05910002
CURRENT_STATUS
01
SITE_LOCATION
11707 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjqov.orq/ehd <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address: FUN TOWN AT MICKE GROVE #4FU5813, 11707 N MICKE GROVE RD, LODI 95240 <br />#47 Signs Posted; Last Inspection Report Available <br />OBSERVATIONS: Unable to locate last OIR. Retain most recent inspection report on site. <br />CALCODE DESCRIPTION: Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br />hands after using the restroom (113953.5) (b) No smoking signs shall be posted in food preparation, food storage, ware washing, and <br />utensil storage areas (113978). (c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br />such as salad bars and buffets. (d) Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br />post a sign within the food facility in a public area stating that toilet facilities are not provided (113725.1, 114381(e)). Proper posting of <br />nutritional information at facilities with 20 or more chains in California (114094). <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: <br /> <br />Expiration Date: <br /> <br />Warewash Chlorine (CI): ppm Heat: ° F Water/Hot Water Ware Sink Temp: ° F <br />Quaternary Ammonia (QA): <br />PPm <br /> Hand Sink Temp: ° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />3 of 9 violations corrected; 1 could not be confirmed (if last OIR is on site), and 5 violations still in effect. <br />Submit evidence of correction (i.e. photo) to jwong@sjcehd.com to avoid a billable 2nd reinspection. <br />OIR emailed to raymond.hernandez1994@gmail.com, and per request, a hard copy mailed to this facility address. <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: denareforma, asst.manager <br />EH Specialist: JEFFREY WONG Phone: (209) 468-0335 <br />FA0000284 PR0161935 SC333 09/06/2017 <br />END 16-23 Rev. 06/30/15 <br />Page 2 of 2 Mobile Food Facility OIR
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