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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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PR0527292
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COMPLIANCE INFO_2022
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Last modified
2/2/2022 10:44:26 AM
Creation date
2/2/2022 10:42:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0527292
PE
1628
FACILITY_ID
FA0002069
FACILITY_NAME
GOLDEN LIVING CENTER - PORTSIDE
STREET_NUMBER
2740
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
952045529
APN
12536016
CURRENT_STATUS
01
SITE_LOCATION
2740 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
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: GOLDEN LIVING CENTER - PORTSIDE, 2740 N CALIFORNIA ST, STOCKTON 952045529 <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 /> 100 <br /> 200 <br /> 120 <br /> 100 <br />needed <br />OVERALL INSPECTION NOTES AND COMMENTS <br />2 comp sink -- sanitize -- 121.00º F hand sink -- restroom 1 -- 100.00º F <br />hand sink -- restroom 2 -- 105.00º F steam table -- 186.00º F <br />walk-in -- 40.00º F prep sink -- 122.00º F <br />mop sink -- 121.00º F 3 dr Traulsen upright -- 38.00º F <br />hand sink -- kitchen -- 100.00º F 2 comp sink -- wash -- 120.00º F <br />hand sink -- restroom near entrance -- 106.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />Chlorine and quat test strips available. <br />Discussed report with Andrew Bideo, dietary supervisor. <br />No signature captured. <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:(209) 616-3035 <br />, <br />DARIA AFONSKAIA <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0002069 PR0527292 SC001 01/31/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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