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COMPLIANCE INFO_2021
EnvironmentalHealth
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/4/2022 3:12:04 PM
Creation date
2/11/2021 8:39:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0505591
PE
1624
FACILITY_ID
FA0006884
FACILITY_NAME
MR PICKLES SANDWICH SHOP
STREET_NUMBER
514
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
06004013
CURRENT_STATUS
01
SITE_LOCATION
514 W KETTLEMAN LN STE B
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SA N'tJ D A Q U I N Environmental Health Department <br /> I��kiw <br /> —COUNTY <br /> Greorness grows here, Time In: 11.35 am <br /> Time Out: 12:10 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: MR PICKLES SANDWICH SHOP Date: 12/20/2021 <br /> Address: 514 W KETTLEMAN LN, LODI 95242 <br /> Owner/Operator: YAUN, SARIM Telephone: (408)250-4785 <br /> Program Element: 1624-RESTAURANT/BAR 21-50 SEATS <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 /> #40 Proper Use and Storage of Wiping Cloths <br /> OBSERVATIONS:Observed wet wiping cloth son couter. <br /> Provide wet wiping cloth in sanitizer solution. <br /> CALCODE DESCRIPTION:Wiping cloths used to wipe service counters,scales or other surfaces that may come into contact with food <br /> shall be used only once unless kept in clean water with sanitizes (114135, 114185.1 114185.3(d-e)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Sarim Yaun Expiration Date: March 01,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--front of the house--108.00°F 2 door reach-in/under prep--next to microwaves--41.00°F <br /> 3 door reach-in/under prep(R)--front counter--41.00°F 3 door reach-in/inder prep(L)--front counter--41.00°F <br /> walk-in--41.00°F 3 comp--122.00°F <br /> prep sink--124.00°F hand sink--kitchen--102.00°F <br /> mop sink--120.00°F <br /> NOTES <br /> sanitizer bucket 300ppm (quat) <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: Sarim Yaun, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0006884 PR0505591 SCO01 12/20/2021 <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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