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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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PR0163094
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COMPLIANCE INFO_2022
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Last modified
11/19/2024 3:59:44 PM
Creation date
12/6/2022 8:46:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0163094
PE
1623
FACILITY_ID
FA0000054
FACILITY_NAME
BACKWOODS BURGERS LLC
STREET_NUMBER
29250
Direction
E
STREET_NAME
STATE ROUTE 120
City
ESCALON
Zip
95320
APN
22925030
CURRENT_STATUS
01
SITE_LOCATION
29250 E HWY 120
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: BACKWOODS BURGERS LLC, 29250 E HWY 120 , ESCALON 95320 <br />Food Program Official Inspection Report <br /> #43 Toilet Facilites Clean/ Supplied/ Maintained <br />OBSERVATIONS: Rest room door is open during my inspection. Provide self closing door in 2 weeks. <br />CALCODE DESCRIPTION: Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br />well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br />facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons: in <br />establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <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 /> 128 <br /> 110 <br />Required <br />OVERALL INSPECTION NOTES AND COMMENTS <br />1 D cooler -- 39.00º F Right side walk in cooler -- Outside -- 41.00º F <br />Mop sink -- 122.00º F Walk in cooler -- 41.00º F <br />Left side walk in cooler/ produce -- Outside -- 41.00º F Hand sink -- Rest room -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Bleach on site. <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) 616-3052 <br />, <br />GEHANE FAHMY <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0000054 PR0163094 SC001 12/02/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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