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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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PR0546853
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
7/17/2023 3:52:53 PM
Creation date
7/17/2023 3:52:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0546853
PE
1636
FACILITY_ID
FA0026540
FACILITY_NAME
JIMENEZ PRODUCE #8G92204
STREET_NUMBER
13850
STREET_NAME
COPPEROPOLIS
STREET_TYPE
RD
City
STOCKTON
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
13850 COPPEROPOLIS RD
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Environmental Health Department <br />Time In: <br /> 8:40 am <br /> 8:25 am <br />Time Out: <br />Program Element: 1636 - LTD FOOD VEHICLE (PRODUCE/WHOLE FISH) <br />Telephone: Owner/Operator: JIMENEZ CERVANTES, MARTIN <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 13850 COPPEROPOLIS RD, STOCKTON 95215 <br />Date: 05/11/2023Name of Facility: JIMENEZ PRODUCE #8G92204 <br />Mobile Food Facility Official Inspection Report <br />VIOLATIONS AND CORRECTIVE ACTIONS <br />Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br />113700. All violations must be corrected within specified timeframe. Violations that are classified as "MAJOR" pose an immediate threat to public health <br />and have the potential to cause foodborne illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br />the food facility. <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 />N/A <br />OVERALL INSPECTION NOTES AND COMMENTS <br />No Temperature Data Collected <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No violations. <br />OKAY to issue 2023 permit once permit fee is paid. <br />LIC: 8G92204 <br />Print and maintain a copy of the most current inspection report on-site. <br />Note: The signature of the person receiving the inspection report was not obtained during the inspection. <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) 561-8923 <br />, <br />CLAUDIA MURO <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Mobile Food Facility OIR <br />FA0026540 PR0546853 SC001 05/11/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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