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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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PR0160031
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COMPLIANCE INFO_2022
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Last modified
3/2/2023 2:30:26 PM
Creation date
1/10/2023 11:17:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160031
PE
1624
FACILITY_ID
FA0000936
FACILITY_NAME
THE HIDDEN TEA ROOM
STREET_NUMBER
310
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
LODI
Zip
95240
APN
03725005
CURRENT_STATUS
01
SITE_LOCATION
310 N CALIFORNIA ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Food Program Service Request Inspection Report <br />Facility Name and Address: THE HIDDEN TEA ROOM, 310 N CALIFORNIA ST , LODI 95240 <br />Environmental Health Department <br />NOTES <br />Change of ownership inspection. <br />Chlorine test strips available. <br />Facility is permitted as a tea room. <br />Observed residential Maytag refrigerator, Kenmore freezer, and Hamilton Beach microwave. Provide commercial units that are <br />NSF or equivalent certified for sanitation when replacing these units. <br />Observed wood baseboard in men's restroom, employee restroom, and in prep room. Provide approved coving with 3/8 in. <br />minimum radius cove such as slim foot tile or tile with schluter cove base when replacing the flooring. <br />Discussed report with Elizabeth Jurado. <br />No signature captured. <br />Ok to issue permit once 5021 form is updated and permit fee is paid. <br />PE 1624, fee $355 <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) 616-3035 <br />, <br />DARIA AFONSKAIA <br />Page 3 of 3EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br />FA0000936 SR0086158 SC061 12/21/2022
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