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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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PR0160259
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/8/2021 2:08:29 PM
Creation date
11/30/2021 8:12:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160259
PE
1615
FACILITY_ID
FA0000456
FACILITY_NAME
JACOBS TERMINOUS MARKET
STREET_NUMBER
15004
Direction
N
STREET_NAME
GLASSCOCK
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02503005
CURRENT_STATUS
01
SITE_LOCATION
15004 N GLASSCOCK 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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SA N'tJ D A Q U I N Environmental Health Department <br /> I��kiw <br /> —COUNTY <br /> Greorness grows here, Time In: 10.30 am <br /> Time Out: 10:50 am <br /> Food Program Official Inspection Report <br /> Name of Facility: JACOBS TERMINOUS MARKET Date: 11/04/2021 <br /> Address: 15004 N GLASSCOCK RD, LODI 95242 <br /> Owner/Operator: JACOBS, CHARLES Telephone: <br /> Program Element: 1615-RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:Paper towels are lacking for hand sink at restroom. <br /> Provide paper towels in dispenser. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(0) <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: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> True display--holds string cheese 41.00°F Mop sink-- 122.00°F <br /> Hand sink--restroom--130.00°F <br /> NOTES <br /> No comment entered. <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: Larry, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0000456 PRO160259 SCO01 11/04/2021 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <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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