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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0160097
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COMPLIANCE INFO_2021
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Last modified
12/16/2021 8:45:15 AM
Creation date
12/16/2021 8:39:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0160097
PE
1625
FACILITY_ID
FA0000692
FACILITY_NAME
M SUSHI BISTRO
STREET_NUMBER
212
Direction
S
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04304615
CURRENT_STATUS
01
SITE_LOCATION
212 S SCHOOL ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: M SUSHI BISTRO, 212 S SCHOOL ST, 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 />Dinh Hong January 20, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Display refrigerator -- next to ice machine -- 41.00º F Hand sink (R) -- front counter -- 115.00º F <br />Hand sink -- bar (L) -- 41.00º F Hand sink -- front counter -- 127.00º F <br />Right side cold drawers -- front counter -- 41.00º F 2 door -- under register -- 41.00º F <br />Hand sinks -- restroom -- 58.00º F Prep sink -- 120.00º F <br />Middle -- front counter -- 52.00º F Crab -- front counter middle cold drawers -- 46.00º F <br />tuna -- front counter middle cold drawers -- 46.00º F Hand sink (L) -- front counter -- 101.00º F <br />three comp -- 120.00º F Hand sink -- kitchen -- 100.00º F <br />NuCo2 carbon dioxide tanks -- near three comp sink -- 200.00º L Cold drawers (L) -- front counter middle cold drawers -- 41.00º F <br />Three door upright refrigerator -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <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: <br />EH Specialist:Phone: <br />Dinh Hong, <br />STEPHANIE RAMIREZ <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0000692 PR0160097 SC001 12/08/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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