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COMPLIANCE INFO_2022
EnvironmentalHealth
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PR0160159
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COMPLIANCE INFO_2022
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Last modified
12/28/2022 9:28:35 AM
Creation date
12/28/2022 9:26:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160159
PE
1625
FACILITY_ID
FA0000647
FACILITY_NAME
MCDONALDS #3580
STREET_NUMBER
200
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04502057
CURRENT_STATUS
01
SITE_LOCATION
200 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: MCDONALDS #3580, 200 W LODI AVE, LODI 95240 <br />Food Program Official Inspection Report <br /> #35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: Observed ice accumulation under compressor in walk-in refrigerator. <br />Clean. <br />CALCODE DESCRIPTION: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment <br />shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br />114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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 /> 160 <br />Daniel Jimenez December 14, 2026 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />2 door cold drawer -- holds hamberger patties -- 45.00º F frappe/smoothie reach-in -- 41.00º F <br />10:1 patty -- 174.00º F 2 door cold drawer -- next to Blodgett oven -- 41.00º F <br />soft serve -- 20.00º F hand sink -- front -- 136.00º F <br />carbon dioxide tanks -- next to back door -- 550.00º L 2 door cold drawer -- holds eggs -- 42.00º F <br />mocha reach-in -- 41.00º F walk-in -- 43.00º F <br />reach-in -- under assembly line -- 41.00º F 2 door cold drawer -- under toppings bar -- 41.00º F <br />hand sink -- Men's restroom -- 114.00º F hand sink -- near ice machine -- 104.00º F <br />hand sink -- women's restroom -- 117.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No comment entered. <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: <br />, <br />STEPHANIE RAMIREZ <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0000647 PR0160159 SC001 12/15/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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