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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0547930
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/27/2022 2:45:22 PM
Creation date
9/22/2022 2:28:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0547930
PE
1635
FACILITY_ID
FA0027329
FACILITY_NAME
DOUBLE BACK LLC #4UP8623
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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r SANJOAQUI Environmental Health Department <br /> -+ C U ( T Time In: 9:35 am <br /> }' Time Out: 9:50 am <br /> G <br /> i�lFOSi4,k reatness grows here, <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: DOUBLEBACK LLC Date: 07/06/2022 <br /> Address: 5638 KERMIT LN , STOCKTON 95207 <br /> Requestor: CARLOS THOMPSON, DOUBLEBACK LLC Telephone: (209)915-7619 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0084502 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:Hot water is not available. Make the repairs so that hot water is provided. Correct prior to operating. Hot <br /> water must be verified prior to issuing a permit. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> went to the home address of the applicant to verify hot water on the mobile food facility. <br /> Correct the above prior to issuing a permit to operate. <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: VIDAL PEDRAZA Phone: (209)616-3020 <br /> SR0084502 SC523 07/06/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />
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