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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0504914
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COMPLIANCE INFO_2022
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Last modified
12/8/2022 1:32:20 PM
Creation date
11/8/2022 9:58:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0504914
PE
1619
FACILITY_ID
FA0006403
FACILITY_NAME
TARGET T0853
STREET_NUMBER
2355
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
027-410-110-000
CURRENT_STATUS
01
SITE_LOCATION
2355 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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ll � � oA f� I N Environmental Health Department <br /> Irl �J <br /> • I' e U hl T Y Time In: 9.04 am <br /> Time Out: 9:30 am <br /> ` Greoltr+ess grows here. <br /> .- <br /> Food Program Service Request Inspection Report <br /> Name of Facility: TARGET T0853 Date: 10/24/2022 <br /> Address: 2355 W KETTLEMAN LN , LODI 95242 <br /> Requestor: SAMANTHA OLENDORFF, PERMIT PLACE Telephone: (415)663-2112 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0084658 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in freezer--market pick up area--20.00°F walk-in cooler--market pick up area--35.00°F <br /> NOTES <br /> Partial Plan Check Final Inspection. <br /> Inspection only for market pick-up walk-in cooler and walk-in freezer. <br /> Ok to final market pick-up walk-in cooler and walk-in freezer. <br /> Discussed report with Val Kim. <br /> No signature captured. <br /> Call 209-616-3069 to schedule final inspection for Starbucks Remodel. <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: DARIA AFONSKAIA Phone: (209)616-3035 <br /> SR0084658 SC523 10/24/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program Service Request Inspection Report <br />
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