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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0542022
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/22/2021 8:17:46 AM
Creation date
1/22/2021 8:07:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0542022
PE
1620
FACILITY_ID
FA0024122
FACILITY_NAME
Hobby Lobby #768
STREET_NUMBER
2350
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2350 W Kettleman Ln
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\jcastaneda
Tags
EHD - Public
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SA N'tJ D A Q U I N Environmental Health Department <br /> I��kiw <br /> —COUNTY <br /> Time In: 12.33 p <br /> Gfe0cne55 9fOwS here, Time Out: 12:55 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: Hobby Lobby#768 Date: 01/21/2021 <br /> Address: 2350 W Kettleman Ln, LODI 95242 <br /> Owner/Operator: JOHNSTON, JACK Telephone: (405)745-1351 <br /> Program Element: 1620-RETAIL MKT 26-300 SQ FT(INCIDENTAL FOODS) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> men's restroom(warm water)--hand sink--106.00°F womens restroom(warm water)--hand sink--100.00°F <br /> mopsink--120.00°F <br /> NOTES <br /> No violations. <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: Keith,Assistant Manager, sig not cap <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0024122 PR0542022 SCO01 01/21/2021 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <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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