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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160132
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COMPLIANCE INFO
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Last modified
5/29/2020 2:55:45 PM
Creation date
5/5/2020 9:30:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160132
PE
1626
FACILITY_ID
FA0000258
FACILITY_NAME
ARBOR SENIOR APARTMENTS
STREET_NUMBER
115
STREET_NAME
LOUIE
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04125039
CURRENT_STATUS
01
SITE_LOCATION
115 LOUIE AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <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: ARBOR SENIOR APARTMENTS, 115 LOUIE AVE, LODI 95240 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Remedios Diosdado Expiration Date:May 22,2017 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 112'F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> hand sink--kitchen-- 112.00°F hand sink--restroom-- 104.00° F <br /> walk-in--39.00°F <br /> NOTES <br /> sanitizer dispenser at 2-comp-400ppm (quat) <br /> No foods on steam table at the time of inspection. <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: �0, Name and Title: remedi, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209) 468-9851 <br /> FA0000258 PRO160132 SC001 12/17/2015 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />
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