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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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PR0505163
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
3/22/2023 2:54:27 PM
Creation date
1/18/2022 8:13:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0505163
PE
1615
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
01
SITE_LOCATION
601 E KETTLEMAN LN
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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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: GV EXPRESS MART INC. DBA: LODI CHEVRON, 601 E KETTLEMAN LN , LODI 95240 <br /> NOTES <br /> Change of ownership consultation inspection. <br /> Chlorine test strips available. <br /> Ice is bagged on site, sign was posted on freezer door. <br /> Facility has soda, coffee, slushy, nachos, and prepackaged food. <br /> The 3 comp sink is also used for hand washing. <br /> The Tequileros Taqueria food trailer parked on the facility currently stores food in the 2 D True display in the side storage <br /> room. <br /> Store entrance was damaged by a vehicle and is in the process of being repaired. <br /> Discussed report with PJ Singh, Manager. <br /> No signature captured. <br /> Ok to issue permit once permit fee is paid and 5021 form is updated. <br /> PE 1615,fee$275 <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: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0003803 SR0086201 SC061 12/29/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Food Program Service Request Inspection Report <br />
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