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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BUCKLEY COVE
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1600 - Food Program
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PR0160243
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COMPLIANCE INFO_2021
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Last modified
8/19/2021 9:54:28 AM
Creation date
5/20/2021 4:24:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160243
PE
1620
FACILITY_ID
FA0002683
FACILITY_NAME
LADDS MARINA
STREET_NUMBER
4911
STREET_NAME
BUCKLEY COVE
STREET_TYPE
WAY
City
STOCKTON
Zip
95219
APN
000-037-098-3
CURRENT_STATUS
02
SITE_LOCATION
4911 BUCKLEY COVE WAY
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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rA �J�AQUIN Environmental Health Department <br /> COUNTY <br /> Time In: 8.45 am <br /> •'C1FaRrti`. Greotness grows here. <br /> Time Out: 9:15 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LADDS MARINA Date: 05/20/2021 <br /> Address: 4911 BUCKLEY COVE WAY, STOCKTON 95219 <br /> Owner/Operator: PATRICIA BONNIFIELD Telephone: (209)477-9521 <br /> Program Element: 1620-RETAIL MKT 26-300 SQ FT(INCIDENTAL FOODS) <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 /> 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: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door true--41.00°F <br /> NOTES <br /> No Violations <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: Michelle Wagener, <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0002683 PRO160243 SCO01 05/20/2021 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />
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