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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160205
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
10/7/2020 2:55:45 PM
Creation date
7/1/2020 8:45:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0160205
PE
1626
FACILITY_ID
FA0000660
FACILITY_NAME
SHANGRI LA ASIAN BISTRO
STREET_NUMBER
203
Direction
S
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04304414
CURRENT_STATUS
01
SITE_LOCATION
203 S SCHOOL ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SA N'tJ D A Q U I N Environmental Health Department <br /> I��kiw <br /> —COUNTY <br /> Greorness grows here, Time In: 1059 am <br /> Time Out: 11:22 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SHANGRI LA ASIAN BISTRO Date: 07/14/2020 <br /> Address: 203 S SCHOOL ST, LODI 95240 <br /> Owner/Operator: VAN, PAUL C Telephone: (916)548-6888 <br /> Program Element: 1626-RESTAURANT/BAR 101 +SEATS <br /> Inspection Type: INSPECTION/REINSPECTION (Chargeable) <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 /> 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 /> 2 door cutting station reach-in--cutting station--41.00°F <br /> NOTES <br /> All items from the routine have been corrected. <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: Joe Chen, Sig not captured <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0000660 PRO160205 SC333 07/14/2020 <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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