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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160219
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COMPLIANCE INFO_2021
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Last modified
3/19/2021 9:48:07 AM
Creation date
1/12/2021 8:18:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160219
PE
1617
FACILITY_ID
FA0002770
FACILITY_NAME
209 PIZZA
STREET_NUMBER
8102
STREET_NAME
KELLEY
STREET_TYPE
DR
City
STOCKTON
Zip
95209
APN
07427011
CURRENT_STATUS
01
SITE_LOCATION
8102 KELLEY DR STE H2
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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S A N-J O A Q U I N Environmental Health Department <br /> C Q U N T Y_______ - Time In: 11 55 am <br /> Time Out: 12:22 pm <br /> e�c,aos�t` Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: 209 PIZZA Date: 12/29/2020 <br /> Address: 8102 KELLEY DR , STOCKTON 95209 <br /> Requestor: MOHSEN M KHAN &MUHAMMAD WALEED AGHA KHAN, 209 PIZZA Telephone: (209)507-9458 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0083058 <br /> Inspection Type: 061 -CONSULTATION <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Varinder Singh Expiration Date:January 26,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 115°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> mop sink-- 120.00°F hand sink--115.00°F <br /> 3 door reach-in/under pizza prep--41.00°F walk-in--40.00°F <br /> hand sink--warm water--102.00°F <br /> NOTES <br /> PE 1617 <br /> Ok to issue permit once fee is paid. <br /> Note: Observed Display refrigerator and 3 door Cold Tech under pizza prep are not plugged in at this time. <br /> Provide these pieces of equipment at a minimum of 41 F or lower when storing PHF. <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: MUHAMMAD W. KHAN, owner, Sig n <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0002770 SR0083058 SC061 12/29/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />
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