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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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4580
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1600 - Food Program
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PR0160023
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/19/2024 3:46:03 PM
Creation date
12/8/2021 2:35:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160023
PE
1625
FACILITY_ID
FA0001099
FACILITY_NAME
PHILLIPS FARMS
STREET_NUMBER
4580
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
05516050
CURRENT_STATUS
01
SITE_LOCATION
4580 W HWY 12
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: PHILLIPS FARMS, 4580 W HWY 12 , LODI 95240 <br />Food Program Official Inspection Report <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 /> 50 126 <br /> 108 <br />Miguel Rivera July 16, 2022 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hand sink -- Men’s restroom -- 112.00º F hand sink -- Server station -- 62.00º F <br />Hand sink -- Gender Neutral -- 100.00º F Hand sink -- Wine tasting bar 1 -- 102.00º F <br />Reach-in/ under soups -- 37.00º F Hand sink -- breezeway -- 120.00º F <br />Upright salad display -- Pizza kitchen -- 35.00º F Soup chicken artichoke -- 181.00º F <br />Hand sink -- Women’s restroom -- 100.00º F Hand sink -- bakery -- 108.00º F <br />Hand sink -- Kitchen -- 100.00º F 3 door reach in under prep -- Pizza kitchen -- 40.00º F <br />3 comp -- bakery -- 126.00º F Hand sink -- Men’s restroom next to all gender -- 60.00º F <br />2 door Bev Air upright/ across from ice machine -- storage room -- <br />41.00º F <br />Marketeer display refrigerator -- 41.00º F <br />Handsink -- ware wash room -- 106.00º F Vegetable grab and go refrigerator -- 37.00º F <br />3 door upright Bev Air -- storage room -- 38.00º F Hand sink -- Men’s restroom -- 72.00º F <br />True refrigerator -- Kitchen -- 41.00º F Prep sink -- 120.00º F <br />Hand sink -- Pizza kitchen -- 119.00º F Hand sink -- Women’s restroom -- 58.00º F <br />Three door reach in a continental refrigerator under prep table -- <br />Kitchen -- 41.00º F <br />2 door upright True -- Pizza kitchen -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Sanitizer bucket 400ppm (quat) <br />dishwasher(s) 50 ppm <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: <br />Juan Santos, <br />STEPHANIE RAMIREZ <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0001099 PR0160023 SC001 12/02/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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