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COMPLIANCE INFO_2020
EnvironmentalHealth
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1600 - Food Program
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PR0160873
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/10/2020 4:34:17 PM
Creation date
11/10/2020 4:33:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0160873
PE
1612
FACILITY_ID
FA0002698
FACILITY_NAME
MR SIBS
STREET_NUMBER
4950
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10223005
CURRENT_STATUS
01
SITE_LOCATION
4950 PACIFIC AVE 109
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Environmental Health Department <br />Time In: <br /> 1:45 pm <br /> 1:00 pm <br />Time Out: <br />Program Element: 1612 - FOOD EST <500 SQ FT W/O SEATING <br />Telephone: (209) 474-6423 Owner/Operator: PEEPLES, DEBBIE A <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 4950 PACIFIC AVE, STOCKTON 95207 <br />Date: 11/06/2020Name of Facility: MR SIBS <br />Food Program Official Inspection Report <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 /> #30 Food Storage/Display Properly Labeled <br />OBSERVATIONS: Boxes with soda fountain syrup boxes are on the floor. Raise 6 inches from floor. Correct by 1 - 2 weeks. <br />CALCODE DESCRIPTION: Food shall be stored in approved containers and labeled as to contents. Food shall be stored at least 6" <br />above the floor on approved shelving. (114047, 114049, 114051, 114053, 114055, 114067(h), 114069 (b)) <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 100 129 <br /> 125 <br />Debbie Peeples September 22, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />1 door central -- left end-back room -- 40.00º F cheese sauce -- warmer -- 153.00º F <br />1 door central -- right end-back room -- 41.00º F 1 door central -- front station -- 38.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <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: <br />EH Specialist:Phone:(209) 616-3051 <br />Debbie Peeples, owner <br />MARIBEL FLOHRSCHUTZ <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0002698 PR0160873 SC001 11/06/2020 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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