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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0160097
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
1/18/2022 8:43:29 AM
Creation date
1/18/2022 8:42:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160097
PE
1625
FACILITY_ID
FA0000692
FACILITY_NAME
M SUSHI BISTRO
STREET_NUMBER
212
Direction
S
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04304615
CURRENT_STATUS
01
SITE_LOCATION
212 S SCHOOL ST
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 />Time In: <br />10:49 am <br />10:20 am <br />Time Out: <br />Program Element: 1625 - RESTAURANT/BAR 51-100 SEATS <br />Telephone: Owner/Operator: NGUYEN, MINH <br />Inspection Type: INSPECTION/REINSPECTION (Chargeable) <br />Address: 212 S SCHOOL ST, LODI 95240 <br />Date: 01/06/2022Name of Facility: M SUSHI BISTRO <br />Food Program Official Inspection Report <br />VIOLATIONS AND CORRECTIVE ACTIONS <br />Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br />113700. All violations must be corrected within specified timeframe. Violations that are classified as "MAJOR" pose an immediate threat to public health <br />and have the potential to cause foodborne illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br />the food facility. <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 />OVERALL INSPECTION NOTES AND COMMENTS <br />L hand sink -- Mens -- 105.00º F L hand sink -- Womens -- 104.00º F <br />R hand sink -- Womens -- 105.00º F R hand sink -- Mens -- 103.00º F <br />Middle cold drawer -- 36.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Note: I received an email video of the functional soap and paper towel dispenser. <br />All items have been addressed from the routine inspection. <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 />Hong, <br />STEPHANIE RAMIREZ <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0000692 PR0160097 SC333 01/06/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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