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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1600 - Food Program
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PR0160239
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/5/2022 8:23:34 AM
Creation date
9/27/2022 9:10:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160239
PE
1615
FACILITY_ID
FA0001018
FACILITY_NAME
TESORO/USA #68152
STREET_NUMBER
401
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04513019
CURRENT_STATUS
01
SITE_LOCATION
401 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SA N'tJ D A Q U I N Environmental Health Department <br /> I��kiw <br /> —COUNTY <br /> Time In: 12-41 p <br /> Gfe0cne55 9fOwS here, Time Out: 12:52 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: TESORO/USA#68152 Date: 09/16/2022 <br /> Address: 401 W KETTLEMAN LN, LODI 95240 <br /> Owner/Operator: NMSO INC Telephone: (909)394-4728 <br /> Program Element: 1615-RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP) <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 /> mop sink-- 127.00°F 3 comp--120.00°F <br /> hand sink--restroom--100.00°F <br /> NOTES <br /> 2nd Re-inspection to follow up on hot water. <br /> A new water heater has been installed and there is hot water at the facility. <br /> Ok to sell fountain drinks etc. <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: Becky, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0001018 PRO160239 SC333 09/16/2022 <br /> EHD 16-23 Rev.06/30/15 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.sjcehd.com <br />
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