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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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PR0526658
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
6/15/2021 10:54:07 AM
Creation date
6/15/2021 10:46:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0526658
PE
1636
FACILITY_ID
FA0018048
FACILITY_NAME
TOMMY D MCDONALD #823DS
STREET_NUMBER
3952
STREET_NAME
ANASTASIA
STREET_TYPE
LN
City
STOCKTON
Zip
95206
APN
17947005
CURRENT_STATUS
01
SITE_LOCATION
3952 ANASTASIA LN
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Time In: <br />10:34 am <br />10:15 am <br />Time Out: <br />Program Element: 1636 - LTD FOOD VEHICLE (PRODUCE/WHOLE FISH) <br />Telephone: Owner/Operator: MCDONALD, TOMMY D <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 3952 ANASTASIA LN, STOCKTON 95206 <br />Date: 06/15/2021Name of Facility: TOMMY D MCDONALD #823DS <br />Mobile Food Facility Official Inspection Report <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 />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 />OVERALL INSPECTION NOTES AND COMMENTS <br />No Temperature Data Collected <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Lic dp823DS <br />Owner has magnetic information for the business <br />No violations observed. <br />Ok to issue permit for 2021. <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 />VIDAL PEDRAZA <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Mobile Food Facility OIR <br />FA0018048 PR0526658 SC001 06/15/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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