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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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PR0547793
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
11/10/2022 8:51:27 AM
Creation date
7/11/2022 2:05:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547793
PE
1617
FACILITY_ID
FA0027228
FACILITY_NAME
BAHAY KUBO INC
STREET_NUMBER
903
Direction
N
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
903 N CENTRAL AVE
P_LOCATION
03
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtoWSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: , 903 N CENTRAL AVE ,TRACY <br /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS:Obtain either chlorine or quat sanitizer test strips prior to opening (must match the sanitizer type you are <br /> using). <br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br /> 114101.1, 114101.2, 114103, 114107, 114125) <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:Provide a self closing device on the toilet room door. Correct prior to opening. <br /> CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink kitchen--110.00°F 1 door Premium Levella--37.00°F <br /> 1 comp food prep sink--120.00°F hand sink restroom--100.00°F <br /> 2 door Atosa freezer--12.50°F 3 comp sink--120.00°F <br /> mop sink--120.00°F 2 door Atosa- 40.00°F <br /> NOTES <br /> Food Plan check final inspection <br /> OK to permit as a 1617 once the annual permit fee is paid ($301) <br /> Anticipated opening date: 7-11-22 <br /> No signature obtained <br /> Report typed up at the office 3:49p-3:58p <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: discussed w/Redentor Quiamba, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0079339 SC523 06/16/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />
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