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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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PR0161060
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COMPLIANCE INFO_2021
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Last modified
8/12/2021 1:30:05 PM
Creation date
8/12/2021 1:24:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0161060
PE
1621
FACILITY_ID
FA0000222
FACILITY_NAME
FIRESIDE INN, THE
STREET_NUMBER
854
Direction
E
STREET_NAME
LATHROP
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19617001
CURRENT_STATUS
01
SITE_LOCATION
854 E LATHROP RD
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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` ` ! J O A Q U I t , Environmental Health Department <br /> Food Program Official Inspection Report <br /> Facility Name and Address: FIRESIDE INN, THE, 854 E LATHROP RD, LATHROP 95330 <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:The interior of the ice machine has build-up around the deflector plate. Clean and sanitize by 3 days. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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: 144°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door True--41.00°F 1 door frigidaire--40.00°F <br /> walk-in cooler--38.00°F 2 door keg--41.00°F <br /> restroom hand sinks--100.00°F <br /> NOTES <br /> quat sanitizer available/test strips needed <br /> No signature obtained <br /> Report typed up at the office 2:53p-3:03pm <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: Discussed w/owner Shirley and, emp <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0000222 PRO161060 SCO01 08/04/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <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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