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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0546319
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COMPLIANCE INFO_2021
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Last modified
6/24/2021 6:51:23 PM
Creation date
2/2/2021 3:08:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0546319
PE
1635
FACILITY_ID
FA0026239
FACILITY_NAME
LA LUPITA #2 (#4SZ2139)
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SANOAQU I N Environmental Health Department <br /> COU NI T Y IY Time In: 8.19 am <br /> Time Out: 8:41 am <br /> crtorness grow$ here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LA LUPITA#2 #4SZ2139 Date: 06/09/2021 <br /> Address: 620 S SACRAMENTO ST, LODI 95240 <br /> Requestor: ABEL RAMIREZ, LA LUPITA#2 LIC#4SZ2139 Telephone: (209)331-4569 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0083826 <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: Abel Ramirez Expiration Date:June 27,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 126°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Atosa freezer--1.10°F steam table--145.00°F <br /> 1 door Atosa prep--37.00°F 1 door Atosa--40.00°F <br /> NOTES <br /> La Lupita 2/620 S Sacramento St <br /> License plate#4SZ2139 <br /> VIN...KSO43084 <br /> wiping cloth bucket 200 ppm Cl/test strips are available <br /> OK to permit as a 1635 once the annual permit fee is paid ($237) <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: Discussed w/Abel Ramirez, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0026239 SR0083826 SC061 06/09/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />
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