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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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1600 - Food Program
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PR0160157
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COMPLIANCE INFO_2022
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Last modified
5/5/2022 2:23:49 PM
Creation date
5/5/2022 2:21:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160157
PE
1626
FACILITY_ID
FA0002153
FACILITY_NAME
LUMBERJACKS RESTAURANT
STREET_NUMBER
3113
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219-3703
APN
10018009
CURRENT_STATUS
01
SITE_LOCATION
3113 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: LUMBERJACKS RESTAURANT, 3113 W BENJAMIN HOLT DR, STOCKTON 95219-3703 <br />Food Program Official Inspection Report <br /> #45 Floors, Walls, Ceilings; Clean and Maintained <br />OBSERVATIONS: The floor in the kitchen is dirty behind the cooking equipment and in the corner behind the storage rack <br />of rolls. Clean the floors today. <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 />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 /> 50 120 <br /> 100 <br />Kanwarjit Singh February 12, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />left chef drawer -- 41.00º F middle chef drawer -- 49.00º F <br />sour cream -- waiter / waitress line -- 45.00º F 2 door reach in -- salad prep area -- 38.00º F <br />traulsen 3 door -- 38.00º F salad dressing -- 48.00º F <br />true 2 door -- kitchen -- 41.00º F salad dressing -- salad prep area -- 48.00º F <br />right chef drawer -- 41.00º F gravy -- prep table -- 165.00º F <br />walk in -- 39.00º F salsa -- prep table -- 41.00º F <br />cake display -- 49.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />sanitizer bucket - 300 ppm 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 />, <br />NICHOLAS WIESEMAN <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0002153 PR0160157 SC001 05/04/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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