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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0523464
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/3/2021 9:11:31 AM
Creation date
10/27/2021 10:53:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0523464
PE
1635
FACILITY_ID
FA0012050
FACILITY_NAME
LA BAMBA #7L97235
STREET_NUMBER
1301
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240-5704
APN
04529028
CURRENT_STATUS
01
SITE_LOCATION
1301 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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S A N J a A Q U I N Environmental Health Department <br /> COUNTY <br /> Mobile Food Facility Official Inspection Report <br /> Facility Name and Address: LA BAMBA#71-97235, 1301 S SACRAMENTO ST, LODI 95240-5704 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Carlos A Arechiga Expiration Date:October 31,2023 <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 /> 3 comp--122.00°F 2d reach-in--41.00°F <br /> Steam table--152.00°F Handsink--131.00°F <br /> NOTES <br /> 71-97235 <br /> VIN ...3661 <br /> Ok to issue 2022 permit once fee is paid. <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: Carlos, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0012050 PR0523464 SCO01 10/15/2021 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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