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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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PR0160015
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COMPLIANCE INFO_2021
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Last modified
9/16/2021 9:01:00 AM
Creation date
9/16/2021 8:54:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160015
PE
1623
FACILITY_ID
FA0000749
FACILITY_NAME
MATSUYAMA RESTAURANT
STREET_NUMBER
235
STREET_NAME
LAKEWOOD MALL
City
LODI
Zip
95240
APN
03534009
CURRENT_STATUS
01
SITE_LOCATION
235 LAKEWOOD MALL
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Time In: <br /> 1:21 pm <br />12:46 pm <br />Time Out: <br />Program Element: 1623 - RESTAURANT/BAR 1-20 SEATS <br />Telephone: (209) 368-3888 Owner/Operator: CH-WU, STEVEN/CHANG CHIN MEI <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 235 LAKEWOOD MALL , LODI 95240 <br />Date: 08/27/2021Name of Facility: MATSUYAMA RESTAURANT <br />Food Program 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 /> #19 Consumer Advisory for Raw or Undercooked Food <br />OBSERVATIONS: Consumer Advisory sign is lacking. Provide. <br />CALCODE DESCRIPTION: Ready-to-eat food containing undercooked food or raw egg and unpackaged confectionery food containing <br />more than 1/2% alcohol may be served if the facility notifies the consumer. (114012, 114093) <br /> #35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: No sanitizer detected at sanitizer machine. Provide sanitizer at a minimum of 50 ppm. <br />Per operator the facility utilizes the 3 compartment sink for the washing, rinsing, and sanitizing. <br />Make this piece of equipment functional or remove. <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 /> #45 Floors, Walls, Ceilings; Clean and Maintained <br />OBSERVATIONS: Observed debris on flooring. Detail clean areas under and around equipment especially between griddle <br />and oven. <br />CALCODE DESCRIPTION: The walls / ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor <br />surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br />cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original <br />unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143 (d), <br />114266, 114268, 114268.1, 114271, 114272) <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 />Page 1 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0000749 PR0160015 SC001 08/27/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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