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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0542438
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/9/2021 11:51:28 AM
Creation date
4/2/2021 2:00:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0542438
PE
1623
FACILITY_ID
FA0024390
FACILITY_NAME
FUNCTIONAL 4 NUTRITION
STREET_NUMBER
5403
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5403 N PERSHING AVE STE 10
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
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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: 10.36 am <br /> Time Out: 11:06 am <br /> Food Program Official Inspection Report <br /> Name of Facility: FUNCTIONAL 4 NUTRITION Date: 03/22/2021 <br /> Address: 5403 N PERSHING AVE, STOCKTON 95207 <br /> Owner/Operator: VILLANUEVA, STEPHANIE Telephone: <br /> Program Element: 1623-RESTAURANT/BAR 1-20 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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:Hot water at mops ink is at 116F. <br /> Provide hot and cold water at this sink with hot water at 120F. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <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 /> hand sink--warm water at Women's restroom-- 100.00°F referigerator--next to dry storage rack--40.00°F <br /> hand sink--next to mopsink--100.00°F han disnk--warm water at Men's restroom--104.00°F <br /> mop sink--116.00°F 3 comp--133.00°F <br /> NOTES <br /> Note; Per operator Food Manager Exam is to be taken Friday, March 26, 2021 <br /> Please email a copy of Food Manager Certificate to sramirez@sjgov.org <br /> Signature not captured due to COVID <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: Stephanie Longoria, owner, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0024390 PR0542438 SCO01 03/22/2021 <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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