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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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PR0546120
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/1/2020 4:13:00 PM
Creation date
8/13/2020 4:12:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0546120
PE
1635
FACILITY_ID
FA0026086
FACILITY_NAME
FIRED MOBILE PIZZA OVEN #4LL6919
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: FIRED MOBILE PIZZA OVEN, 620 S SACRAMENTO ST , LODI <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Sarah Correa Expiration Date:August 27,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door cooler--bottom--37.00°F 1 door cooler for sodas--top section--45.00°F <br /> 2 door prep--38.00°F <br /> NOTES <br /> LIC 4LL6919 <br /> VIN 4RAC516206KO58403 <br /> Ok to issue permit once fee is paid <br /> Program 1635 Fee$237 <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: Daniel Correa, owner <br /> EH Specialist: MARIBEL FLOHRSCHLITZ Phone: (209)953-7817 <br /> SR0082441 SC061 08/11/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />
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