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COMPLIANCE INFO_2017-2019
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PR0542005
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COMPLIANCE INFO_2017-2019
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Last modified
8/26/2020 7:58:11 AM
Creation date
8/26/2020 7:52:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-2019
RECORD_ID
PR0542005
PE
1633
FACILITY_ID
FA0024110
FACILITY_NAME
TIKIZ SHAVED ICE & ICE CREAM #35422B2
STREET_NUMBER
8091
STREET_NAME
BALFOUR
STREET_TYPE
RD
City
BRENTWOOD
Zip
94513
APN
14310020
CURRENT_STATUS
02
SITE_LOCATION
8091 BALFOUR RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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i� <br />S A N! 0 A Q l! II Environmental Health Department <br />siN <br />—COUNTY— <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address: TIKIZ SHAVED ICE & ICE CREAM #35422B2,2900 HARDING WAY, STOCKTON 95205 <br />OVERALL INSPECTION NOTES AND'COMMENTS 4. <br />OBSERVATIONS <br />Name on Food Safety Certificate: John Matthew Meza <br />Warewash Chlorine (Cl): ppm Heat: ° F <br />Quaternary Ammonia (QA): ppm <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />No Temperature Data Collected <br />NOTES <br />lic#35422B2 <br />"operator to return to EHD between 8am-9am for reinspection. <br />Expiration Date: June 06, 2022 <br />Water/Hot Water Ware Sink Temp ° F <br />Hand Sink Temp ° F <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: <br />Name and Title: john Meza, owner <br />EH Specialist: STEPHANIE RAMIREZ Phone: (209) 468-9851 <br />FA0024110 PROS42005 Scoot 12/29/2017 <br />EHD 16-23 Rev. 06/30/15 Page 2 of 2 Mobile Food Facility 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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