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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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PR0160783
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COMPLIANCE INFO_2021
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Last modified
10/27/2021 2:01:36 PM
Creation date
9/16/2021 12:43:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160783
PE
1624
FACILITY_ID
FA0002752
FACILITY_NAME
CAMBODIAN RESTAURANT
STREET_NUMBER
8046
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09057004
CURRENT_STATUS
01
SITE_LOCATION
8046 WEST LN STE 103
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SAN J 0 A Q U I N Environmental Health Department <br /> CC)U NTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: CAMBODIAN RESTAURANT, 8046 WEST LN, STOCKTON 95210 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> shrimp--cold hold, 1 dr True prep top--41.00°F hand sink--front counter--100.00°F <br /> 2 dr True upright--kitchen--40.00°F 1 dr True w/prep top--kitchen--41.00°F <br /> NOTES <br /> Re-inspection. <br /> Chlorine test strips available. <br /> Sanitizer bucket was 100 ppm Chlorine. <br /> Wall mounted soap dispensers provided at front and restroom hand sinks. <br /> Temperature probe was available. <br /> Report discussed with manager. <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: Soly Ea, Manager <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0002752 PRO160783 SC333 09/28/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 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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