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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0526431
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COMPLIANCE INFO_2022
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Last modified
5/2/2022 8:29:27 AM
Creation date
1/12/2022 7:52:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0526431
PE
1616
FACILITY_ID
FA0017884
FACILITY_NAME
MI TENTACION BAKERY & ICE CREAM SHOP
STREET_NUMBER
1205
STREET_NAME
PLAZA
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22530075
CURRENT_STATUS
01
SITE_LOCATION
1205 PLAZA AVE STE 6
P_LOCATION
06
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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SA :J O Q V I + �Ips' Environmental Health Department <br /> COUNT <br /> Food Program Official Inspection Report <br /> Facility Name and Address: MI TENTACION BAKERY& ICE CREAM SHOP, 1205 PLAZA AVE, ESCALON 95320 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Sergio Martinez Expiration Date:October 29,2025 <br /> Warewash Chlorine(Cl): 0 ppm Heat: °F Water/Hot Water Ware Sink Temp: 88°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 86°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 D reach in cooler/under prep table--37.00°F 1 D display cooler/cakes--Dining--41.00°F <br /> Hand sink--Rest room--100.00°F <br /> NOTES <br /> First routine inspection after operating their business. <br /> Re inspection is required in 2 weeks. <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: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0017884 PR0526431 SCO01 04/08/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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