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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0161050
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COMPLIANCE INFO_2021
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Last modified
3/2/2021 7:40:28 AM
Creation date
3/2/2021 7:38:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0161050
PE
1624
FACILITY_ID
FA0000183
FACILITY_NAME
LA COSTA DE ACAPULCO
STREET_NUMBER
16444
STREET_NAME
CAMBRIDGE
STREET_TYPE
DR
City
LATHROP
Zip
95330
APN
19643033
CURRENT_STATUS
01
SITE_LOCATION
16444 CAMBRIDGE DR
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY <br /> Greoln@SS grows hem Time In: 1.53 pm <br /> Time Out: 2:20 om <br /> Food Program Official Inspection Report <br /> Name of Facility: LA COSTA DE ACAPULCO Date: 03/01/2021 <br /> Address: 16444 CAMBRIDGE DR, LATHROP 95330 <br /> Owner/Operator: MARTINEZ, ELIZABETH Telephone: <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 /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:Observed dried insect droppings in the dry goods storage area. Clean up rodent droppings today and <br /> sanitize the area. <br /> Routinely monitor the facility for new activity and take corrective action as needed. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Elizabeth Martinez Expiration Date:September 12,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 comp prep sink-- 121.00°F 1 door Coke True--38.00°F <br /> restroom hand sinks--100.00°F mop sink--123.00°F <br /> 2 door Bev Air prep--41.00°F ham--41.00°F <br /> chicken at 2 door True--41.00°F 1 door True--40.00°F <br /> NOTES <br /> chlorine sanitizer&test strips are available <br /> No signature obtained/COVID-19 <br /> Report typed at the office 4:14-4:24p <br /> FA0000183 PRO161050 SCO01 03/01/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Food Program OR <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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