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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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PR0162655
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COMPLIANCE INFO_2021
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Last modified
5/27/2021 4:47:07 PM
Creation date
5/27/2021 4:45:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0162655
PE
1625
FACILITY_ID
FA0001012
FACILITY_NAME
CASA FLORES
STREET_NUMBER
400
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06208021
CURRENT_STATUS
01
SITE_LOCATION
400 E KETTLEMAN LN 5
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: CASA FLORES, 400 E KETTLEMAN LN, LODI 95240 <br />Food Program Official Inspection Report <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 /> 50 120 <br /> 100 <br />Jose Alfredo Pena April 11, 2020 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />turbo air 3 door -- bar -- 41.00º F atosa 1 door -- 41.00º F <br />walk in -- 46.00º F 2 door prep -- 40.00º F <br />true 2 door display -- waitress area -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />sanitizer bucket - 100 ppm chlorine <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:Phone: <br />, <br />NICHOLAS WIESEMAN <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0001012 PR0162655 SC001 05/27/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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