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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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PR0160320
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COMPLIANCE INFO_2022
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Last modified
11/8/2022 8:11:25 AM
Creation date
4/11/2022 8:12:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160320
PE
1618
FACILITY_ID
FA0000917
FACILITY_NAME
99 Cents Only Stores #157
STREET_NUMBER
300
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
300 W Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN J a A Q U I N Environmental Health Department <br /> COUNTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: 99 Cents Only Stores#157, 300 W Kettleman Ln, LODI 95240 <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed a piece of metal flashing on the floor of the Men's restroom. <br /> Flashing piece appears to be the cover for the wall under the hand sink. <br /> Place flashing back on to wall (or similar material)so wall is smooth and cleanable. <br /> Ceiling air vent cover lacking over aisle 2 <br /> Provide <br /> Observed debris in air vents over aisle 2. <br /> Clean <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Mens restroom--100.00°F walk around refrigerator--holds prepackaged salad--41.00°F <br /> Mop sink--122.00°F hand sink--Womens restroom--100.00°F <br /> Walk-in--with display doors 41.00°F <br /> NOTES <br /> No comment entered. <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: Veronica, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0000917 PRO160320 SCO01 04/04/2022 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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