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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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PR0541092
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/16/2021 11:49:16 AM
Creation date
12/16/2021 11:44:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0541092
PE
1619
FACILITY_ID
FA0023528
FACILITY_NAME
WALMART #1789
STREET_NUMBER
1601
Direction
S
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
1601 S LOWER SACRAMENTO RD
P_LOCATION
02
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: WALMART #1789, 1601 S LOWER SACRAMENTO RD, LODI 95242 <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 /> 300 <br />Shannon Bennett November 07, 2023 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Salad Walk around refrigerator -- 41.00º F Fruit end cap walk around refrigerator -- 41.00º F <br />Pie crusts Walk around refrigerator -- 38.00º F Mop sink -- Meat Dept -- 110.00º F <br />Walk in refrigerator -- Dairy -- 38.00º F Right hand wash sink -- Bakery -- 69.00º F <br />Cheese wall refrigerator -- 41.00º F Sausage/breakfast meats wall refrigerator -- 41.00º F <br />Fruit walk around refrigerator -- 41.00º F Biscuits/Cheese walk around refrigerator -- 35.00º F <br />OPD Display refrigerator #4 & #5 -- 41.00º F Cake area Prep sink -- Bakery -- 77.00º F <br />Sausages/lunch meats wall refrigerator -- 41.00º F Ham walk around end cap -- 41.00º F <br />Prepackaged sides/mashed potatoes wall refrigerator -- 41.00º F Walk in refrigerator -- Deli -- 39.00º F <br />Pizza/Cheese wall refrigerator -- 41.00º F Soup End cap walk around refrigerator -- 41.00º F <br />Butter/Cream cheese walk around refrigerator -- 34.00º F Creamer walk around refrigerator -- 38.00º F <br />Men's restroom -- Front -- 113.00º F Women's restroom hand sink -- Back -- 92.00º F <br />Men's restroom -- Back -- 100.00º F OPD Display refrigerator #2 & #3 -- 41.00º F <br />3 comp sink -- Meat Dept -- 108.00º F Salad dressing/cut fruit walk around refrigerator -- 39.00º F <br />Stir in paste wall refrigerator -- 40.00º F Crescents/little smokies sausage walk around refrigerator -- <br />40.00º F <br />3 compartment sink -- Bakery -- 103.00º F Cookie dough/cheese /butter wall refrigerator -- 38.00º F <br />Hand wash sink -- Deli next to walk in -- 100.00º F Middle handwash -- Deli/Bakery -- 78.00º F <br />OPD Display refrigerator #1 -- 41.00º F Poultry walk around -- 41.00º F <br />Prep sink -- Deli -- 107.00º F Women's restroom hand sink -- Front -- 111.00º F <br />Egg nog walk around end cap refrigerator -- 39.00º F Seafood, Beef, Pork, Poultry wall refrigerator -- 41.00º F <br />Salad end cap walk around refrigerator -- 38.00º F Hand sink -- Meat Dept -- 107.00º F <br />Sandwhich/wrap walk around refrigerator -- 41.00º F Deli Display Case -- Deli -- 41.00º F <br />Quiche/Tamale End cap walk around refrigerator -- 40.00º F Walk in refrigerator -- Bakery -- 40.00º F <br />Handwash sink -- Bakery across 3 comp sink -- 73.00º F Eggs wall refrigerator -- 41.00º F <br />OPD Display refrigerator #6 & #7 -- 41.00º F Sourcream wall refrigerator -- 38.00º F <br />OPD Display refrigerator #10 & #11 -- 41.00º F Left hand hand sink -- Deli/Bakery -- 57.00º F <br />Hand wash sink -- Deli next to prep sink -- 102.00º F Butter walk around end cap refrigerator -- 38.00º F <br />Shredded cheese walk around end cap refrigerator -- 38.00º F Walk in refrigerator -- Meat Dept -- 41.00º F <br />Family restroom hand sink -- Back -- 93.00º F Cookie dough walk around end cap refrigerator -- 35.00º F <br />Prepackage salad/Kombucha wall refrigerator -- 40.00º F OPD Display refrigerator #8 & #9 -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Sanitizer spray bottle: 300 ppm QUAT <br />Note: No hot foods in hot cases at this time. Observed temp logs for food products on 12/13/2021: Corn dog- 178 F, Chicken <br />egg roll- 178 F, Chicken tenders- 178 F, rotisserie chicken 181 F. <br />Per manager, foods are held at the hot holds for 2 - 4 hours. <br />Page 3 of 4EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0023528 PR0541092 SC001 12/14/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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