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COMPLIANCE INFO_2016-2017
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PR0536245
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COMPLIANCE INFO_2016-2017
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Last modified
1/7/2021 2:34:51 PM
Creation date
1/7/2021 2:30:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2017
RECORD_ID
PR0536245
PE
1635
FACILITY_ID
FA0022981
FACILITY_NAME
PENAS TAQUERIA #4PW7834
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
02
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,JOAQUIN <br /> Environmental Health Department <br />COUNTY <br />Mobile Food Facility Official Inspection Report <br />Facility Name and Address: PENAS TAQUERIA #7Y69364 & 4PW7834, 1301 S SACRAMENTO ST, LODI 95240 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Maria S Pena Expiration Date: December 17, 2020 <br /> <br />Warewash Chlorine (CI): ppm Heat: ° F Water/Hot Water Ware Sink Temp 124 ° F <br /> <br />Quaternary Ammonia (QA): <br />PPm <br /> Hand Sink Temp 124 ° F <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />steam table -- 140.00° F refrigerator -- 33.00° F <br />NOTES <br /> <br />ok to issue permit for 2018 <br /> <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: Maria Pena, owner <br />EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br />FA0022981 PR0536245 SC001 12/28/2017 <br />EHD 16-23 Rev, 06/30/15 <br />Page 2 of 2 Mobile Food Facility OIR <br />1868 E. HazeIton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com
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