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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0528265
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COMPLIANCE INFO_2021
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Last modified
11/17/2021 8:22:10 AM
Creation date
5/18/2021 4:01:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0528265
PE
1625
FACILITY_ID
FA0019105
FACILITY_NAME
BOUDIN SF
STREET_NUMBER
5615
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10813022
CURRENT_STATUS
01
SITE_LOCATION
5615 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SAN <br /> 1` ` e J O 1a Q U I N Environmental Health Department <br /> C 0 U A i `l <br /> Food Program Official Inspection Report <br /> Facility Name and Address: BOUDIN SF, 5615 PACIFIC AVE, STOCKTON 95207 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Leticia Nelson Expiration Date:April 26,2023 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door prep--kitchen--45.00°F 4 drawer 1 door prep--kitchen--33.00°F <br /> 4 drawer prep--kitchen--40.00°F beef broth--kitchen--195.00°F <br /> chili--front--176.00°F 1 door true--with mother dough--56.00°F <br /> walk in--kitchen--37.00°F au jus--front--163.00°F <br /> 3 door cooler--cashier-with milk--45.00°F 2 drawer 1 door prep--kitchen--39.00°F <br /> butternut squash--front--179.00°F tomato bisque--front--184.00°F <br /> NOTES <br /> NOTE: Proofer was currently out of service. Service tech was conducting repairs during the inspection. <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: Tera Grant, manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0019105 PR0528265 SCO01 05/18/2021 <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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