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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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PR0541581
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/28/2022 12:00:17 PM
Creation date
7/26/2022 8:36:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0541581
PE
1624
FACILITY_ID
FA0023837
FACILITY_NAME
WEST COAST SOURDOUGH
STREET_NUMBER
2602
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2602 W KETTLEMAN LN #120
P_LOCATION
02
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: WEST COAST SOURDOUGH, 2602 W KETTLEMAN LN, LODI 95242 <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Observed a towel covering the sourdough bread loaf that is used when customers order a sandwich, <br /> bread is sliced from loaf. <br /> Provide a non absorbent material to cover loaf. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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 /> 2 door arctic air--under prep nex to microwave--39.00°F mop sink--139.00°F <br /> hand sink--next to 3 comp--112.00°F hand sink--rest room--146.00°F <br /> 2 door arctic air under prep--next to soup warmer--41.00°F walk-in--39.00°F <br /> tomato bisque soup--counter top soup warmer--157.00°F 2 door Arctic air refrigerator--under front counter(R)\--40.00°F <br /> 3 comp--134.00°F prep sink--126.00°F <br /> 2 door Arctic air refrigerator--under front counter(L)--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: Lovedeep, owner, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0023837 PR0541581 SCO01 11/15/2022 <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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