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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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866
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1600 - Food Program
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PR0507015
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Last modified
5/16/2022 4:39:25 PM
Creation date
10/20/2021 9:41:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
WORK PLANS
RECORD_ID
PR0507015
PE
1623
FACILITY_ID
FA0007685
FACILITY_NAME
RAMEN 101
STREET_NUMBER
866
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09741020
CURRENT_STATUS
01
SITE_LOCATION
866 W BENJAMIN HOLT DR
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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° ur I Environmental Health Department <br /> SAN-6-JOAQU <br /> CaLJT <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: RAMEN 101, 866 W BENJAMIN HOLT DR, STOCKTON <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: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> air- walk in freezer--10.00°F air- prep table sandwich--40.00°F <br /> air- prep table salads--39.00°F air- walk in cooler--40.00°F <br /> air- prep table undercounter drawers--40.00°F <br /> NOTES <br /> ok to issue permit. <br /> Obtain a permit prior to operating the business. <br /> PE 1623 <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: VIDAL PEDRAZA Phone: <br /> SR0082701 SC523 07/12/2021 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />
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