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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0518079
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COMPLIANCE INFO_2021
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Last modified
2/2/2022 4:16:30 PM
Creation date
10/27/2021 2:32:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0518079
PE
1624
FACILITY_ID
FA0013681
FACILITY_NAME
WATER HOLE TAVERN
STREET_NUMBER
246
Direction
N
STREET_NAME
CLUFF
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04905039
CURRENT_STATUS
01
SITE_LOCATION
246 N CLUFF AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Food Program Service Request Inspection Report <br />Facility Name and Address: WATER HOLE TAVERN, 246 N CLUFF AVE , LODI 95240 <br />Environmental Health Department <br />hand sink -- female restroom -- 100.00º F 3 comp sink/hand sink -- bar -- 124.00º F <br />hand sink -- male restroom -- 100.00º F 2 dr True cooler -- bar -- 39.00º F <br />walk-in -- 41.00º F mop sink -- 120.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Change of ownership inspection. <br />Chlorine test strips and bleach is available on site. <br />If the quat tablets will be used to sanitize at the 3 comp sink provide quat test strips. <br />Per Katrina the pizza warmer near the entrance will not be used and only alcohol and packaged shelf stable food will be served <br />at this facility. <br />The 3 comp sink is used for hand washing at bar. Soap and paper towels are available. <br />Facility will have 25 seats. <br />Provided SB180. <br />Discussed report with Katrina Recore. <br />No signature captured. <br />PE 1624. Permit fee is $355. <br />Okay to permit once permit fee is paid and 5021 form is updated. <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:Phone:(209) 616-3035 <br />, <br />DARIA AFONSKAIA <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br />FA0013681 SR0084378 SC061 10/22/2021
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