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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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PR0518724
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/11/2022 12:53:30 PM
Creation date
6/23/2022 11:10:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0518724
PE
1625
FACILITY_ID
FA0014100
FACILITY_NAME
KFC/A&W #284
STREET_NUMBER
4450
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2306
CURRENT_STATUS
01
SITE_LOCATION
4450 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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r I Environmental Health Department <br /> SANJOAQU <br /> C UNT <br /> Greotrress grows here, Time In: 12-09 p <br /> Time Out: 12:35 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: KFC/A&W#284 Date: 06/23/2022 <br /> Address: 4450 E WATERLOO RD, STOCKTON 95215-2306 <br /> Owner/Operator: FROILAN 284, INC. Telephone: (916)553-2267 <br /> Program Element: 1625-RESTAURANT/BAR 51-100 SEATS <br /> Inspection Type: INSPECTION/REINSPECTION (Chargeable) <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 /> 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 /> No Temperature Data Collected <br /> NOTES <br /> Re-inspection:Verified correction of items 6 and 22. Pre-rinse sink and 3-compartment ware-wash sink are draining properly <br /> and hand wash station restocked. <br /> Facility is okay to reopen. <br /> Refer to inspection report dated 06-22-2022 for pending minor violations. Inspection report was emailed to facility. <br /> To minimize person-to-person contact,the signature of the person receiving the inspection report was not 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: CLAUDIA MURO Phone: (209)561-8923 <br /> FA0014100 PR0518724 SC333 06/23/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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