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EHD Program Facility Records by Street Name
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LOWER SACRAMENTO
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18961
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1600 - Food Program
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PR0160170
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Last modified
6/5/2020 2:56:03 PM
Creation date
5/5/2020 10:54:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160170
PE
1626
FACILITY_ID
FA0003197
FACILITY_NAME
ODDFELLOW TAVERN
STREET_NUMBER
18961
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
WOODBRIDGE
Zip
95258
APN
01545034
CURRENT_STATUS
01
SITE_LOCATION
18961 N LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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Time In: 11:04 am <br /> Time Out: 11:40 am <br /> oPQ�tk. San Joaquin County <br /> P. Environmental Health Department <br /> W , X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> gC)p�.R�i <br /> Food Program Official Inspection Report <br /> Name of Facility: CACTUS MEXICAN Date: 11/05/2015 <br /> Address: 18961 N LOWER SACRAMENTO RD,WOODBRIDGE 95258 <br /> Owner/Operator: GOMEZ, EFRAIN Telephone: (209) 367-1632 <br /> Program Element: 1626 - RESTAURANT/BAR 101 + SEATS <br /> Inspection Type: INSPECTION/REINSPECTION 1 hr minimum <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS: Banquet flooring has debris. Clean. <br /> CALCODE DESCRIPTION: The walls/ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> hand sink--banquet room-- 100.00°F one door reach-in refrigerator--across from hand sink--41.00°F <br /> NOTES <br /> Reinspection 8 of 9 items corrected. Continue working on the following -banquet room has debris on the floor. Clean. <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: richaed torres, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209) 468-9851 <br /> FA0003197 PRO160170 SC333 11/05/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />
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