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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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PR0505996
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
8/21/2023 9:01:39 AM
Creation date
8/21/2023 9:00:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0505996
PE
1626
FACILITY_ID
FA0007134
FACILITY_NAME
BLACK BEAR DINER - LODI
STREET_NUMBER
2347
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2347 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
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: BLACK BEAR DINER - LODI, 2347 W KETTLEMAN LN, LODI 95242 <br />Food Program Official Inspection Report <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 /> 200 <br /> 130 <br /> 100 <br />Seleny Alvarez September 08, 2026 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hand sink -- Counter/kitchen entrance -- 100.00º F True 2 door reach in -- Under salad prep -- 41.00º F <br />mop sink -- 120.00º F Walk in -- 39.00º F <br />4 drawer cooler -- Under fire grill -- 41.00º F hand wash sink -- Warewash area -- 109.00º F <br />2 door reach in -- Kitchen Across grill -- 41.00º F 2 door true reach in -- Across ice machine -- 41.00º F <br />Gravy -- Hot hold -- 145.00º F Prep sink -- 123.00º F <br />hand sink -- Men's restroom -- 120.00º F 2 door reach in -- Under sandwich prep -- 41.00º F <br />4 door drawer cooler -- Under griddle next to fryer -- 41.00º F 3 comp sink -- Back -- 129.00º F <br />True 1 door reach in -- Under shake mixer -- 41.00º F True 2 door reach in -- under fruit prep -- 41.00º F <br />hand sink -- Women's restroom -- 117.00º F Hand wash -- Kitchen -- 115.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Sanitizing buckets- 200 ppm QUAT <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) 616-3032 <br />, <br />FRANCISCO RUIZ <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0007134 PR0505996 SC001 08/14/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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