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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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PR0536930
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/13/2020 8:20:12 AM
Creation date
11/13/2020 8:13:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0536930
PE
1624
FACILITY_ID
FA0021199
FACILITY_NAME
ST ANNES SCHOOL DOMINICAN HALL
STREET_NUMBER
200
Direction
S
STREET_NAME
PLEASANT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04304210
CURRENT_STATUS
01
SITE_LOCATION
200 S PLEASANT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Environmental Health Department <br />Time In: <br /> 9:51 am <br /> 9:29 am <br />Time Out: <br />Program Element: 1624 - RESTAURANT/BAR 21-50 SEATS <br />Telephone: Owner/Operator: MAR, ELIZABETH <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 200 S PLEASANT AVE, LODI 95240 <br />Date: 11/10/2020Name of Facility: ST ANNES SCHOOL DOMINICAN HALL <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 />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 />OVERALL INSPECTION NOTES AND COMMENTS <br />No Temperature Data Collected <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />I went to the facility to conduct the routine inspection. <br />Cafeteria is not in use at this time to prepare/distribute food and will not be serving/distributing food for this school year. <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: <br />Rose Harold, Vice Principal, Sig not c <br />STEPHANIE RAMIREZ <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0021199 PR0536930 SC001 11/10/2020 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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