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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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PR0160607
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COMPLIANCE INFO_2021
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Last modified
4/6/2021 8:03:08 AM
Creation date
4/6/2021 7:59:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160607
PE
1615
FACILITY_ID
FA0002798
FACILITY_NAME
FAMILY MART
STREET_NUMBER
5104
Direction
E
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15914115
CURRENT_STATUS
01
SITE_LOCATION
5104 E WASHINGTON ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SAN J 0 A Q U I N Environmental Health Department <br /> CC)U NTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: FAMILY MART, 5104 E WASHINGTON ST, STOCKTON 95205 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: N/A Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Milk and deli meat cooler--1 Dr True cooler--38.00°F 2 Dr Imbera cooler--Retail cooler--41.00°F <br /> Mop sink--121.00°F Walk-in cooler--41.00°F <br /> NOTES <br /> Routine inspection. <br /> Previous report located on site. <br /> The ice machine is currently not in operational use at this time. <br /> The mop sink is currently located inside of the restroom. <br /> Official inspection report mailed to facility. <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: Raul Gohar,Associate <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0002798 PRO160607 SCO01 03/01/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 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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