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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0167535
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COMPLIANCE INFO_2023
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Last modified
5/23/2023 11:57:36 AM
Creation date
5/23/2023 11:57:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0167535
PE
1617
FACILITY_ID
FA0001997
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
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: COUNTRY CLUB MOBIL CIRCLE K, 2575 COUNTRY CLUB BLVD, STOCKTON 95204 <br />Food Program Official Inspection Report <br /> #44 Premises: Clean/Litter Free; Vermin-Proof <br />OBSERVATIONS: The dry storage room was observed unorganized with boxes and equipment blocking the mop sink and <br />three compartment sink. The three compartment sink was observed with dirty mops and rags and other items inside the <br />sink. Organized the dry storage room and store all items in their designated location, maintain mop and three compartment <br />sink accessible at all times and use three compartment sink only for the washing, rinsing and sanitizing of dishes and <br />utensils. (REPEAT) <br />CALCODE DESCRIPTION: The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br />shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br />kept vermin proof. (114067 (j), 114123, 114143 (a) & (b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br />114259.3, 114279, 114281, 114282) <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 /> 300 <br /> 124 <br /> 120 <br />Harinder Bhatia June 09, 2027 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Open display cooler -- 40.00º F Sausage -- Roller -- 163.00º F <br />Walk-in cooler -- 41.00º F Hand sink -- Restroom -- 101.00º F <br />Hand sink -- Storage room -- 112.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. No major violations. Time given for correction of minor violations. No re-inspection. <br />Discussed inspection report with Nick Singh (Owner). Official inspection report was emailed to operator. <br />Maintain a copy of 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 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0001997 PR0167535 SC001 05/04/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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