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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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PR0536280
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COMPLIANCE INFO_2021
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Last modified
6/10/2021 8:28:27 AM
Creation date
6/10/2021 8:27:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0536280
PE
1625
FACILITY_ID
FA0020853
FACILITY_NAME
AMICI SUSHI
STREET_NUMBER
269
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627030
CURRENT_STATUS
01
SITE_LOCATION
269 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
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: AMICI SUSHI, 269 E LOUISE AVE, LATHROP 95330 <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 /> 100 120 <br /> 100 <br />needed <br />OVERALL INSPECTION NOTES AND COMMENTS <br />2 door True -- 41.00º F Hoshizaki sushi - left -- 41.00º F <br />2 door True - storage room -- 41.00º F 2 door Atosa - storage room -- 35.00º F <br />2 door True - right (back of house) -- 48.00º F Hoshizaki sushi - right -- 48.00º F <br />2 door True at front of house -- 48.00º F 2 door True - left (back of house) -- 47.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />wiping cloth bucket 100 ppm Cl / test strips are needed <br />Sushi rice pH 4.5 <br />No signature obtained / COVID-19 <br />Report typed at the office 4:14pm-4:29pm <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:(209) 616-3025 <br />Discussed w/ Son Ta, owner <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0020853 PR0536280 SC001 06/09/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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