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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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14090
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1600 - Food Program
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PR0521374
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COMPLIANCE INFO_2021
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Last modified
11/20/2024 9:21:35 AM
Creation date
8/26/2021 11:51:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0521374
PE
1623
FACILITY_ID
FA0014520
FACILITY_NAME
REFRESH LOCKEFORD
STREET_NUMBER
14090
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
APN
01911038
CURRENT_STATUS
01
SITE_LOCATION
14090 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: REFRESH LOCKEFORD, 14090 E HWY 88 , LOCKEFORD 95237 <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 /> 200 <br /> 122 <br /> 112 <br />na <br />OVERALL INSPECTION NOTES AND COMMENTS <br />1 dr upright cooler -- 41.00º F wash comp -- 3 comp sink -- 100.00º F <br />hand sink -- women's restroom -- 102.00º F hand sink -- mens restroom -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Quat test strips available. <br />Discussed violations with owner. <br />No signature captured. <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 />FA0014520 PR0521374 SC001 08/19/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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