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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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4120
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1600 - Food Program
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PR0547089
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COMPLIANCE INFO_2021
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Last modified
12/27/2021 9:49:40 AM
Creation date
10/20/2021 3:40:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0547089
PE
1623
FACILITY_ID
FA0026703
FACILITY_NAME
NEXT LEVEL 209 NUTRITION
STREET_NUMBER
4120
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
4120 N EL DORADO ST
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtoWSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: NEXT LEVEL 209 NUTRITION,4120 N EL DORADO ST, STOCKTON <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:The ceiling in the restroom needs to be painted. Paint prior to opening. <br /> The doorjamb of the restroom door needs to be painted. Paint prior to opening. <br /> The tile in the restroom needs to be grouted. Correct prior to opening. <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 /> 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 /> hand sink--102.00°F restroom hand sink--103.00°F <br /> 3 comp sink--120.00°F mop sink--120.00°F <br /> NOTES <br /> Food plan check final inspection conducted. <br /> On site earlier in the day 8:40-8:47am-not ready-asked to return this afternoon <br /> No refrigeration-no phf <br /> OK to permit as a 1623 once the annual permit fee is paid ($350)/pay permit fee prior to opening <br /> No signature obtained <br /> Report typed up at the office 3:00pm-3:20pm <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/Dymon Hanes, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0083664 SC523 07/26/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />
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