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COMPLIANCE INFO_2021
EnvironmentalHealth
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PR0518424
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COMPLIANCE INFO_2021
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Last modified
1/4/2022 1:36:02 PM
Creation date
1/4/2022 1:35:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0518424
PE
1625
FACILITY_ID
FA0013898
FACILITY_NAME
MIMOSAS GOURMET
STREET_NUMBER
117
Direction
W
STREET_NAME
ELM
City
LODI
Zip
95240
APN
04302415
CURRENT_STATUS
01
SITE_LOCATION
117 W ELM
P_LOCATION
02
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: MIMOSAS GOURMET, 117 W ELM , LODI 95240 <br />Food Program Official Inspection Report <br /> #47 Signs Posted; Last Inspection Report Available <br />OBSERVATIONS: Permit and last inspection report is lacking <br />Maintain. <br />CALCODE DESCRIPTION: Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br />hands after using the restroom (113953.5) (b) No smoking signs shall be posted in food preparation, food storage, warewashing, and <br />utensil storage areas (113978). (c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br />such as salad bars and buffets. (d) Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br />post a sign within the food facility in a public area stating that toilet facilities are not provided (113725.1, 114381 (e)). Proper posting of <br />nutritional information at facilities with 20 or more chains in California (114094). <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 /> 100 <br />Samantha Mccrea September 07, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Mop sink -- 130.00º F 3 comp -- bar -- 121.00º F <br />Hand sink -- 100.00º F Hand sink -- kitchen -- 100.00º F <br />Country gravy -- steam table -- 135.00º F Walk in -- 46.00º F <br />restroom hand sink -- All gender restroom -- 106.00º F All gender restroom hand sink -- near kitchen -- 128.00º F <br />2 door reach in under prep -- 41.00º F 1 door reach in under prep -- 41.00º F <br />2 door reach in -- under beer taps -- 38.00º F Hand sink -- bar -- 100.00º F <br />2 door display reach in -- under register -- 48.00º F Hand sink -- room next to bar -- 124.00º F <br />1 door reach in -- in front of service opening -- 41.00º F 3 comp -- kitchen -- 136.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Note: Soap and paper towel dispensers are to be replaced in room next to bar. <br />Operator to email proof of installation of functional dispensers within 1 week. <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 />Lermin, <br />STEPHANIE RAMIREZ <br />Page 3 of 3EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0013898 PR0518424 SC001 12/29/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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