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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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PR0544623
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COMPLIANCE INFO_2023
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Last modified
12/19/2023 4:27:11 PM
Creation date
8/2/2023 8:26:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0544623
PE
1623
FACILITY_ID
FA0025365
FACILITY_NAME
ROSE TEA LOUNGE
STREET_NUMBER
5634
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5634 N PERSHING AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\lsauers1
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EHD - Public
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SAN J 0 A I I ` , Environmental Health Department <br /> Food Program Official Inspection Report <br /> Facility Name and Address: ROSE TEA LOUNGE, 5634 N PERSHING AVE, STOCKTON 95207 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Thuy Ngo Expiration Date:October 26,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 101 OF <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Prep sink--120.00°F Mop sink--120.00°F <br /> Three door display cooler--39.00°F Two door True cooler--40.00°F <br /> Strawberry--Two door Beverage Air prep cooler--40.00°F Two door Avantco display cooler--Front counter--41.00°F <br /> Two door Avantco display cooler--Hall--41.00°F <br /> NOTES <br /> Routine inspection. No major violations. Time given for correction of minor violations. No re-inspection. <br /> Official inspection report was emailed to operator. <br /> Maintain 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: LYDIA BAKER Phone: (209)616-3046 <br /> FA0025365 PR0544623 SCO01 12/19/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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