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COMPLIANCE INFO_2019
EnvironmentalHealth
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1600 - Food Program
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PR0519217
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COMPLIANCE INFO_2019
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Last modified
4/23/2020 12:52:36 PM
Creation date
4/23/2020 12:51:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0519217
PE
1635
FACILITY_ID
FA0016578
FACILITY_NAME
LA BOHEMIA #5H79999
STREET_NUMBER
731
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04524011
CURRENT_STATUS
01
SITE_LOCATION
731 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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SANtIOAQUIN <br />COUNTY— <br />Environmental Health Department <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address: LA BOHEMIA #5H79999, 731 S SACRAMENTO ST, LODI 95240 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Jose Hernadez Expiration Date: June 14, 2019 <br /> <br />Warewash Chlorine (Cu: ppm Heat: °F Water/Hot Water Ware Sink Temp 150 ° F <br /> <br />Quaternary Ammonia (QA): PPm Hand Sink Temp 150 ° F <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />steam table -- 183.00° F refrigerator -- 40.00° F <br />NOTES <br /> <br />Ok to issue permit for 2019 <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 />4 /2 <br />Received by: Name and Title: jose hernadez, owner's spouse <br />EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br />FA0016578 PR0519217 SC001 12/06/2018 <br />EHD 16-23 Rev 06/30/15 Page 2 of 2 Mobile Food Facility OIR <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com
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