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COMPLIANCE INFO_2023
EnvironmentalHealth
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1600 - Food Program
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PR0517389
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COMPLIANCE INFO_2023
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Last modified
7/11/2023 10:15:07 AM
Creation date
7/11/2023 10:14:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0517389
PE
1614
FACILITY_ID
FA0013394
FACILITY_NAME
LODI STADIUM 12
STREET_NUMBER
109
Direction
N
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04302415
CURRENT_STATUS
01
SITE_LOCATION
109 N SCHOOL 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: LODI LYCLERY, 9 N SCHOOL ST , LODI <br />Environmental Health Department <br /> #45 Floors, Walls, Ceilings; Clean and Maintained <br />OBSERVATIONS: The front counter area on the employee side and the restrooms had brick walls on the north side of the <br />building. Seal and provide smooth, cleanable, and nonabsorbent surfaces within 1 month. <br />CALCODE DESCRIPTION: The walls / ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor <br />surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br />cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original <br />unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143 (d), <br />114266, 114268, 114268.1, 114271, 114272) <br />OVERALL INSPECTION NOTES AND COMMENTS <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 /> 120 <br /> 100 <br />needed <br />1 D True display (L) -- contains milk -- 34.00º F mop sink -- mop closet in employee RR -- 120.00º F <br />hand sink -- front counter -- 101.00º F 3 comp sink -- back room -- 120.00º F <br />nonadjustable hand sink -- customer restroom -- 81.00º F 1 D True display (R) -- contains cheese -- 41.00º F <br />nonadjustable hand sink -- employee restroom -- 82.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Plan check final inspection. <br />Facility has 100000 BTU water heater. <br />Facility will make drinks only. <br />Packaged food items will will be delivered from 217 N School St Suite 1 facility which is operated by the same operator. <br />Facility will have 18 seats. <br />Facility has treated wood floors throughout facility. Provide approved flooring when flooring is replaced. <br />Discussed report with Nik Howard. <br />No signature captured. <br />Verification of hand sink in warewash area is required prior to issuance of permit. <br />PE 1623, fee $350 <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 2 of 2EHD 16-23 Rev. 07/05/2022 Food Program Service Request Inspection Report <br /> SR0086548 SC523 05/05/2023
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