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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ACAMPO
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1600 - Food Program
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PR0161846
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COMPLIANCE INFO_2021
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Last modified
1/12/2022 8:57:24 AM
Creation date
5/5/2021 3:40:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0161846
PE
1632
FACILITY_ID
FA0000244
FACILITY_NAME
LODI USD-HOUSTON SCHOOL
STREET_NUMBER
4600
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01731001
CURRENT_STATUS
01
SITE_LOCATION
4600 E ACAMPO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SAN ]OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: ,4600 ACAMPO RD ,ACAMPO <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Jose Villanueva Expiration Date:July 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 114°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in--39.00°F 2 dr Crescor warmer--kitchen--178.00°F <br /> 2 comp sink--114.00°F Beverage Air milk cooler#1 --multi-purpose room--49.00°F <br /> 3 comp sink--114.00°F 2 dr Crescor warmer--multi-purpose room--165.00°F <br /> hand sink- kitchen--100.00°F Beverage Air milk cooler#2--multi-purpose room--41.00°F <br /> hand sink- staff restroom-- 100.00°F mop sink--janitor room--109.00°F <br /> NOTES <br /> Plan check final inspection. <br /> Quat and thermal test strips were available. <br /> A 199900 BTU gas water heater was installed. <br /> Permit issued for grease interceptor, pending inspection. <br /> Okay to operate. <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: <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> SR0081952 SC523 11/04/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Food Program Service Request Inspection Report <br />
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