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COMPLIANCE INFO_2021
EnvironmentalHealth
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1600 - Food Program
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PR0162130
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COMPLIANCE INFO_2021
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Last modified
1/4/2022 2:50:42 PM
Creation date
1/4/2022 2:49:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0162130
PE
1625
FACILITY_ID
FA0001201
FACILITY_NAME
KING ISLAND GENERAL STORE/CAFE
STREET_NUMBER
11530
Direction
W
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
07119006
CURRENT_STATUS
01
SITE_LOCATION
11530 W EIGHT MILE RD
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: KING ISLAND GENERAL STORE/CAFE, 11530 W EIGHT MILE RD, STOCKTON 95219 <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 /> 50 120 <br /> 104 <br />Kendra Wallace August 22, 2023 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hand sink -- restroom/general store -- 104.00º F Handsink -- restaurant kitchen -- 100.00º F <br />Two door upright True refrigerator -- 41.00º F Handwash sink -- Restroom (R) -- 102.00º F <br />hand sink -- Restroom (L) -- 105.00º F Handwash sink -- Middle -- 123.00º F <br />3 comp -- Bar -- 120.00º F Reach-in -- under beer taps -- 40.00º F <br />3 comp -- 121.00º F Handwash sink -- next to dishwasher -- 101.00º F <br />3 door display -- General Store -- 41.00º F Hand sink -- restroom/general store -- 120.00º F <br />One door upright Everest refrigerator -- across from cooking <br />equipment -- 35.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Note: Two door reach in under prep and 2 door under prep in ware wash room no food is stored in these units at this time. <br />Provide units at 41 or lower if storing potentially hazardous food. <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 />Chuck, <br />STEPHANIE RAMIREZ <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0001201 PR0162130 SC001 12/21/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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