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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0160081
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COMPLIANCE INFO_2022
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Last modified
3/28/2022 9:42:20 AM
Creation date
3/28/2022 9:40:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160081
PE
1624
FACILITY_ID
FA0001042
FACILITY_NAME
VILLAGE COFFEE SHOP INC
STREET_NUMBER
416
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04502047
CURRENT_STATUS
01
SITE_LOCATION
416 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Time In: <br />11:50 am <br />10:44 am <br />Time Out: <br />Program Element: 1624 - RESTAURANT/BAR 21-50 SEATS <br />Telephone: (209) 368-1929 Owner/Operator: JETTE, JULIE <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 416 W LODI AVE, LODI 95240 <br />Date: 03/22/2022Name of Facility: VILLAGE COFFEE SHOP INC <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 /> #7 Hot and Cold Holding Temperatures <br />OBSERVATIONS: One door reach-in refrigerator is at 45F and 2 door reach-in under pie case is at 47F. <br />Provide these units at 41F or lower. <br />CALCODE DESCRIPTION: Potentially hazardous foods shall be held at or below 41/ 45°F or at or above 135°F. (113996, 113998, <br />114037, 114343(a)) <br /> #35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: Observed shelf that holds butter that is peeling. <br />Seal <br />so smooth, cleanable, and non absorbent. <br />Observe 2 twenty pound CO2 tanks that are not restrained. <br />Chain/restrain CO2 tanks. <br />CALCODE DESCRIPTION: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment <br />shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br />114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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 /> 200 125 <br /> 125 <br />Debra Roberson October 03, 2024 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />mopsink/hand sink -- employee restroom -- 120.00º F Country gravy -- warmer -- 148.00º F <br />2 door reach in -- under prep -- 41.00º F Hand sink/ 3 comp -- 125.00º F <br />Pie case -- 41.00º F 2 door reach in -- under pie case -- 46.00º F <br />Blue Air -- 38.00º F One door reach in under prep -- next to griddle -- 45.00º F <br />3 comp -- front -- 122.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />Page 1 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0001042 PR0160081 SC001 03/22/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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