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COMPLIANCE INFO_2021
EnvironmentalHealth
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PR0527848
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COMPLIANCE INFO_2021
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Last modified
12/16/2021 11:03:13 AM
Creation date
12/16/2021 11:01:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0527848
PE
1615
FACILITY_ID
FA0018879
FACILITY_NAME
HEALTHY WAYS
STREET_NUMBER
762
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06004014
CURRENT_STATUS
01
SITE_LOCATION
762 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Time In: <br /> 1:20 pm <br /> 1:03 pm <br />Time Out: <br />Program Element: 1615 - RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP) <br />Telephone: Owner/Operator: BLANCHARD, KERI A <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 762 W KETTLEMAN LN, LODI 95240 <br />Date: 12/08/2021Name of Facility: HEALTHY WAYS <br />Food Program Official Inspection Report <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 />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 />OVERALL INSPECTION NOTES AND COMMENTS <br />Mop sink -- 120.00º F Two compartment sink/ hand sink -- 120.00º F <br />Handsink -- restroom -- 109.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No Violations <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 />Keri Blanchard, <br />STEPHANIE RAMIREZ <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0018879 PR0527848 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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