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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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PR0518424
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COMPLIANCE INFO_2022
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Last modified
12/28/2022 10:55:33 AM
Creation date
12/28/2022 10:52:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0518424
PE
1625
FACILITY_ID
FA0013898
FACILITY_NAME
MIMOSAS GOURMET
STREET_NUMBER
117
Direction
W
STREET_NAME
ELM
City
LODI
Zip
95240
APN
04302415
CURRENT_STATUS
01
SITE_LOCATION
117 W ELM
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: MIMOSAS GOURMET, 117 W ELM , LODI 95240 <br />Food Program Official Inspection Report <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 /> 50 <br />Samantha McCea September 07, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />2 door reach-in -- under prep/next to hand sink -- 44.00º F 2 door reach-in -- under prep (omlette refrigerator) -- 41.00º F <br />hand sink -- restroom near kitchen -- 121.00º F 3 comp -- bar -- 116.00º F <br />gravy -- hot hold next to prep refrigerator -- 154.00º F 2 door display -- under register at bar -- 48.00º F <br />carbon dioxide tanks (4) -- storage room/coffee room -- 150.00º L hand sink -- bar -- 105.00º F <br />hand sink -- storage room/coffee room -- 109.00º F nitogen tank -- storage room/ coffee room -- 50.00º L <br />hand sink -- next to walk-in -- 100.00º F prep/sink -- 153.00º F <br />3 comp -- 140.00º F hand sink -- all gender restroom near bar -- 100.00º F <br />1 door prep top refrigerator -- seating area -- 46.00º 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 />Yusay, <br />STEPHANIE RAMIREZ <br />Page 4 of 4EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0013898 PR0518424 SC001 12/14/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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