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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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PR0160270
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COMPLIANCE INFO_2021
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Last modified
11/9/2021 7:30:14 AM
Creation date
11/9/2021 7:27:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160270
PE
1615
FACILITY_ID
FA0000242
FACILITY_NAME
THE ACAMPO STORE
STREET_NUMBER
3085
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01320007
CURRENT_STATUS
01
SITE_LOCATION
3085 E ACAMPO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: THE ACAMPO STORE, 3085 E ACAMPO RD, ACAMPO 95220 <br />Food Program Official Inspection Report <br /> #45 Floors, Walls, Ceilings; Clean and Maintained <br />OBSERVATIONS: Observed black mold on ceiling above 3 comp sink sink. Clean today and repair ceiling within 1 month. <br />Observed damaged ceiling times above slushy machine in market and in the hallway behind the walk-in cooler. Replace <br />ceiling tiles within 1 month. <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 120 <br /> 100 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />1 dr IDW -- market -- 35.00º F 2 dr Pepsi -- market -- 38.00º F <br />hand sink -- restroom -- 100.00º F 3 comp sink -- back room -- 120.00º F <br />walk-in -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />Quat spray bottle used to sanitize surfaces, it was 400 ppm quat. <br />Prepackaged food only. <br />Maintain a copy of this inspection report on site. <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 OIR <br />FA0000242 PR0160270 SC001 11/04/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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