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COMPLIANCE INFO_COMPLIANCE INFO 2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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1600 - Food Program
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PR0160979
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Entry Properties
Last modified
6/4/2020 8:26:21 AM
Creation date
5/21/2020 10:30:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0160979
PE
1617
FACILITY_ID
FA0002381
FACILITY_NAME
SUPERSAVE MARKET
STREET_NUMBER
39
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14716038
CURRENT_STATUS
01
SITE_LOCATION
39 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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JCastaneda
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EHD - Public
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S ` ` , J O A Q U I N Environmental Health Department <br /> C0U "ATY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: SUPERSAVE MARKET, 39 W DR MARTIN LUTHER KING JR BLVD, STOCKTON 95206 <br /> #44 Premises: Clean/Litter Free;Vermin-Proof <br /> OBSERVATIONS:There is a bottle of eye drops inside 2 door meat cooler. Personal items shall never be stored with food. <br /> Store in break room. <br /> CALCODE DESCRIPTION: The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 6), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Kin Lee Expiration Date: November 01,2021 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 136°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 136°F <br /> FOOD ITEM--LOCATION--TEMP°IF--COMMENTS <br /> 3 door Superior with eggs--retail--45.00°F meat walk in--meat dept--31.00°F <br /> open case--retail--38.00°F 2 door meat case--meat dept--32.00°F <br /> large meat case--meat dept--41.00°F large walk in--warehouse--44.00°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: Kin Lee, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0002381 PRO160979 SCO01 05/19/2020 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <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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