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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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4120
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1600 - Food Program
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PR0500106
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COMPLIANCE INFO_2020
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Last modified
12/17/2020 9:01:24 AM
Creation date
12/17/2020 8:57:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0500106
PE
1618
FACILITY_ID
FA0004608
FACILITY_NAME
DUMBUYA'S MERCADO
STREET_NUMBER
4120
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
11518110
CURRENT_STATUS
01
SITE_LOCATION
4120 N EL DORADO ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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S A I D J O M Q V I N Environmental Health Department <br /> COU N7Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DUMBUYA'S MERCADO, 4120 N EL DORADO ST, STOCKTON 95204 <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: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> no food prep <br /> no signature due to covid 19 <br /> no refrigeration-many chest freezers <br /> the store has been divided -the current store is at 4122 n el dorado st- <br /> 4120 In el dorado st is under a remodel construction for another business <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: NICHOLAS WIESEMAN Phone: <br /> FA0004608 PR0500106 SCO01 12/16/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program 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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