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COMPLIANCE INFO_2022
EnvironmentalHealth
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PR0505996
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COMPLIANCE INFO_2022
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Last modified
1/18/2022 9:10:26 AM
Creation date
1/18/2022 9:08:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0505996
PE
1626
FACILITY_ID
FA0007134
FACILITY_NAME
BLACK BEAR DINER - LODI
STREET_NUMBER
2347
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2347 W 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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Environmental Health Department <br />Facility Name and Address: BLACK BEAR DINER - LODI, 2347 W KETTLEMAN LN, LODI 95242 <br />Food Program Official Inspection Report <br />4 door cold drawer #2 -- under griddle -- 41.00º F 2 door reach in under prep -- across from walk in -- 38.00º F <br />Hands sink -- across from walk in -- 100.00º F Hand sink -- salad prep -- 104.00º F <br />4 door cold drawer #1 -- under griddle -- 41.00º F 3 comp (prep) -- 124.00º F <br />One door under prep -- next milkshake machine -- 41.00º F Walk-in -- 41.00º F <br />Grits -- hot hold -- 186.00º F Mopsink -- 130.00º F <br />hand sink -- women's restroom -- 106.00º F hand sink -- men's restroom -- 100.00º F -- <br />2 door under prep -- salad bar -- 41.00º F 3 comp (warewash) -- 120.00º F <br />4 door cold drawer#3 -- under griddle -- 41.00º F Alto Sham hot hold -- across from hand sink -- 135.00º F <br />CO2 tank -- dry storage room -- 300.00º L 2 door under prep -- expo -- 41.00º F <br />Alto sham hot hold -- across from 4 door cold drawer #3 -- 135.00º <br />F <br />display case -- pie case at POS -- 41.00º F <br />NOTES <br />Sanitizer buckets 200-300ppm (quat) <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 />Burt Benepal, manager, <br />STEPHANIE RAMIREZ <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0007134 PR0505996 SC001 01/04/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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