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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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1600 - Food Program
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PR0160157
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COMPLIANCE INFO_2021
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Last modified
3/19/2021 9:49:20 AM
Creation date
2/24/2021 3:28:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160157
PE
1626
FACILITY_ID
FA0002153
FACILITY_NAME
LUMBERJACKS RESTAURANT
STREET_NUMBER
3113
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219-3703
APN
10018009
CURRENT_STATUS
01
SITE_LOCATION
3113 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SAN <br /> 1` ` e J O 1a Q U I N Environmental Health Department <br /> C 0 U A i `l <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LUMBERJACKS RESTAURANT, 3113 W BENJAMIN HOLT DR, STOCKTON 95219-3703 <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Several walls are not clean. Detail clean by 1-3 weeks. <br /> Several walls at dry storage room have chipped off paint. Repaint by 6-12 months. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <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: 135°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> tall true cooler/freezer--cooks line 41.00°F 2 door randell--wall/waitress--40.00°F <br /> CO2--storage -100.000 L gravy--steam table--149.00°F <br /> 3 door traulsen--kitchen--41.00°F walk in--kitchen--37.00°F <br /> 2 drawers--cooks line--41.00°F small warner--cooks line--135.00°F <br /> 4 drawer prep--cooks line--41.00°F 2 door cooler--waitress--39.00°F <br /> 4 drawers--under griddle--40.00°F sausages--pan on griddle--158.00°F <br /> pie case--front--48.00°F <br /> NOTES <br /> No comment entered. <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: Kamal Singh, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0002153 PRO160157 SCO01 02/24/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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