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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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PR0160015
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COMPLIANCE INFO_2022
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Last modified
7/19/2022 8:01:43 AM
Creation date
6/7/2022 11:39:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160015
PE
1623
FACILITY_ID
FA0000749
FACILITY_NAME
MATSUYAMA RESTAURANT
STREET_NUMBER
235
STREET_NAME
LAKEWOOD MALL
City
LODI
Zip
95240
APN
03534009
CURRENT_STATUS
01
SITE_LOCATION
235 LAKEWOOD MALL
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN J U A Q U I N Environmental Health Department <br /> COUNTY <br /> G7reotness grows here, Time In: 12-53 pm <br /> Time Out: 1:40 om <br /> Food Program Official Inspection Report <br /> Name of Facility: MATSUYAMA RESTAURANT Date: 06/02/2022 <br /> Address: 235 LAKEWOOD MALL , LODI 95240 <br /> Owner/Operator: CH-WU, STEVEN/CHANG CHIN MEI Telephone: (209)368-3888 <br /> Program Element: 1623-RESTAURANT/BAR 1-20 SEATS <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit Reinspection on or after: 06/16/2022 <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 /> #23 Rodents, Insects or Animals Inside Facility MAJOR <br /> OBSERVATIONS:Observed one juvenile cockroach crawl in the top of the dishwasher. <br /> Observed on dead cockroach in the dishwasher water. <br /> Clean and sanitize areas. <br /> Provide effective pest control <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <br /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:Sushi case is at 46F. <br /> Provide at 41 F 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 /> #29 Toxic Substances Properly Identified/Stored/Used <br /> OBSERVATIONS:Observed wrapped rice stored next to bleach and other cleaning supplies on storage rack. <br /> Store cleaning items separate from food items. <br /> Corrected, rice removed. <br /> CALCODE DESCRIPTION:All poisonous substances, detergents,bleaches, and cleaning compounds shall be stored separate from food, <br /> utensils,packing material and food-contact surfaces. (114254, 114254.1, 114254.2) <br /> FA0000749 PRO160015 SCO01 06/02/2022 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 3 Food Program OR <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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