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COMPLIANCE INFO_2023
EnvironmentalHealth
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1600 - Food Program
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PR0160431
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COMPLIANCE INFO_2023
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Last modified
9/26/2023 2:45:06 PM
Creation date
9/26/2023 2:44:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0160431
PE
1624
FACILITY_ID
FA0001741
FACILITY_NAME
SAMS CAFE
STREET_NUMBER
2328
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
12506003
CURRENT_STATUS
01
SITE_LOCATION
2328 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: SAMS CAFE, 2328 PACIFIC AVE, STOCKTON 95204 <br />Food Program Official Inspection Report <br /> #47 Signs Posted; Last Inspection Report Available <br />OBSERVATIONS: The current permit was not accessible during the inspection. Obtain and maintain the most recent permit <br />on-site at all times. Correct today. <br />CALCODE DESCRIPTION: Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br />hands after using the restroom (113953.5) (b) No smoking signs shall be posted in food preparation, food storage, warewashing, and <br />utensil storage areas (113978). (c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br />such as salad bars and buffets. (d) Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br />post a sign within the food facility in a public area stating that toilet facilities are not provided (113725.1, 114381 (e)). Proper posting of <br />nutritional information at facilities with 20 or more chains in California (114094). <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 /> 100 120 <br /> 112 <br />Sam Ou Yang March 02, 2026 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />One door true display cooler -- 41.00º F Mop sink -- 120.00º F <br />Carbon dioxide -- 60.00º L One door Mira cool cooler -- Front counter -- 41.00º F <br />Two door true cooler -- 41.00º F Hand sink -- Restroom -- 100.00º F <br />Prep sink -- 128.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. No major violations. Time given for correction of minor violations. Re-inspection in two weeks if photos of <br />corrections are not sent to lbaker@sjgov.org or (209) 616-3046. <br />Discussed inspection report with Sam Yang (Owner). Mailed official inspection report 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:Phone:(209) 616-3046 <br />, <br />LYDIA BAKER <br />Page 4 of 4EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0001741 PR0160431 SC001 09/13/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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