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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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PR0543817
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
4/29/2021 8:09:14 AM
Creation date
4/29/2021 8:04:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0543817
PE
1623
FACILITY_ID
FA0024919
FACILITY_NAME
CHILL NUTRITION
STREET_NUMBER
480
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
480 S CHEROKEE LN
P_LOCATION
02
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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Environmental Health Department <br />Time In: <br />12:40 pm <br />12:10 pm <br />Time Out: <br />Program Element: 1623 - RESTAURANT/BAR 1-20 SEATS <br />Telephone: Owner/Operator: MORGAN, LEILA <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 480 S CHEROKEE LN, LODI 95240 <br />Date: 04/28/2021Name of Facility: CHILL NUTRITION <br />Food Program Official Inspection Report <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; 113700. All <br />violations must be corrected within specified timeframe. Violations that are classified as "MAJOR" pose an immediate threat to public health and have the <br />potential to cause foodborne illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of the food facility. <br /> #41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: The faucet at the 3 comp sink has a leak. Repair the faucet by 1 week. <br />CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device, as required <br />by applicable plumbing codes. (114192) All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br />ordinances, shall be maintained so as to prevent any contamination, and shall be kept clean, fully operative, and in good repair. Any <br />hose used for conveying potable water shall be of approved materials, labeled, properly stored, and used for no other purpose. (114171, <br />114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 300 <br /> 120 <br /> 100 <br />Michael Henderson November 19, 2021 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />1 door ref -- behind front counter -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />no signature due to covid 19 <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 Safety <br />Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: <br />EH Specialist:Phone: <br />, <br />NICHOLAS WIESEMAN <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0024919 PR0543817 SC001 04/28/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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