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COMPLIANCE INFO_2019
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PR0521851
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COMPLIANCE INFO_2019
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Last modified
4/20/2020 1:19:38 PM
Creation date
4/20/2020 1:19:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0521851
PE
1635
FACILITY_ID
FA0016397
FACILITY_NAME
LA ILUSION #8S69343
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address: LA ILUSION #8S69343, 1301 S SACRAMENTO ST, LODI 95240 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Maura Varela Expiration Date: June 10, 2019 <br /> <br />Warewash Chlorine (Cu: 100 ppm Heat: ° F Water/Hot Water Ware Sink Temp 145 ° F <br /> <br />Quaternary Ammonia (QA) ppm Hand Sink Temp 100 ° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />raw meat in sealed bag -- on bed of ice -- 149.00° F <br />beef-- hot hold -- 178.00° F <br />handwash 100.00° F <br />GE refrigerator (raw whole eggs) -- 43.00° F <br />2D cooler -- 41.00° F <br />3-comp -- 145.00° F <br />NOTES <br /> <br />LIC 8S69343 <br />VIN ...3606090 <br />Sanitizer bucket 100 ppm chlorine. <br />OK to issue 2016 permit after fee is paid. PE 1635 <br /> <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 />Sc- I VI C'-/o y - <br />Received by: Name and Title: Salvador Vazela, owner <br />EH Specialist: JEFFREY WONG Phone: (209) 468-0335 <br />FA0016397 PR0521851 SC001 12/11/2015 <br />Page 2 of 2 Mobile Food Facility OIR END 16-23 Rev. 06/30/15
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