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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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PR0160090
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
8/12/2021 8:18:38 AM
Creation date
8/12/2021 8:14:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160090
PE
1625
FACILITY_ID
FA0000458
FACILITY_NAME
BURGER KING #003890
STREET_NUMBER
616
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06004010
CURRENT_STATUS
01
SITE_LOCATION
616 W KETTLEMAN LN
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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SA N'tJ D A Q U I N Environmental Health Department <br /> I��kiw <br /> —COUNTY <br /> Greorness grows here, Time In: 9.04 am <br /> Time Out: 9:42 am <br /> Food Program Official Inspection Report <br /> Name of Facility: BURGER KING#003890 Date: 08/03/2021 <br /> Address: 616 W KETTLEMAN LN, LODI 95240 <br /> Owner/Operator: SUNNY GHAI Telephone: (510)573-5905 <br /> Program Element: 1625-RESTAURANT/BAR 51-100 SEATS <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: Maria Moros Expiration Date:April 12,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> whopper patty--hot hold--140.00°F reach-in--under front counter at POS--37.00°F <br /> reach-in--coffee station--40.00°F hand sink--near office--108.00°F <br /> Men's restoom--hand sink--120.00°F reach-in--chicken breadidng staton--41.00°F <br /> walk-in--40.00°F CO2 canisters(4)x 50--in break room near soda syrup boxes-- <br /> 200.000 L <br /> CO2 tank--in break area near soda syrup boxes--300.000 L 3 comp--121.00°F <br /> mop sink--120.00°F All Gneder restroom--hand sink--114.00°F <br /> NOTES <br /> I observed time stickers on cheese and tomatoes <br /> sanitizer bucket 300ppm (quat) <br /> No violations <br /> Signature not captured due to COVID <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: Maria Moros, manager, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0000458 PRO160090 SCO01 08/03/2021 <br /> EHD 16-23 Rev.06/30/15 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.sjcehd.com <br />
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