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COMPLIANCE INFO
EnvironmentalHealth
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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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COMPLIANCE INFO
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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
Tags
EHD - Public
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°J A U I N Environmental Health Department <br /> COUNTY <br /> ro`*' <br /> Time In: 1024 am <br /> Greetness grows here. <br /> Time Out: 10:42 am <br /> Food Program Official Inspection Report <br /> Name of Facility: CACTUS MEXICAN Date: 06/15/2018 <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: REINSPECTION (Actual Time) <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 /> #27 Food Protected from Contamination <br /> OBSERVATIONS:Observed a few containers of chips in the dry storage room that is not covered. Cover. <br /> CALCODE DESCRIPTION:All food shall be separated and protected from contamination. (113984(a, b, c,d, t), 113986, 114060, <br /> 114067(a, d, e,j), 114069(a,b), 114077, 114089.1 (c), 114143(c)) <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 /> restroom--Banquet room--100.00°F hand sink--Banquet room--100.00°F <br /> NOTES <br /> No comment entered. <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: efrain, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0003197 PRO160170 SC335 06/15/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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