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COMPLIANCE INFO_2022
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PR0160193
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COMPLIANCE INFO_2022
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Last modified
12/1/2022 10:57:14 AM
Creation date
12/1/2022 10:56:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160193
PE
1620
FACILITY_ID
FA0002533
FACILITY_NAME
LINCOLN VILLAGE HOA #6
STREET_NUMBER
6725
STREET_NAME
CUMBERLAND
STREET_TYPE
PL
City
STOCKTON
Zip
95209
APN
09811003
CURRENT_STATUS
01
SITE_LOCATION
6725 CUMBERLAND PL
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Time In: <br />10:38 am <br />10:00 am <br />Time Out: <br />Program Element: 1620 - RETAIL MKT 26-300 SQ FT (INCIDENTAL FOODS) <br />Telephone: (209) 644-4913 Owner/Operator: LINCOLN VILLAGE HOA <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 6725 CUMBERLAND PL, STOCKTON 95209 <br />Date: 11/30/2022Name of Facility: LINCOLN VILLAGE HOA #6 <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 100 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />No Temperature Data Collected <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. No violations identified. No re-inspection. <br />Snack bar is closed for the season. Ensure coolers maintain food at 41 F or below and soap and paper towels are available <br />at hand sink when operating. <br />Discussed inspection report with Keree Roen. Official inspection report was emailed to the operator. <br />Maintain a copy of official inspection report on-site. <br />To minimize person-to-person contact, the signature of the person receiving the inspection report was not captured. <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:Phone:(209) 616-3046 <br />, <br />LYDIA BAKER <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0002533 PR0160193 SC001 11/30/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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