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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MOUNTAIN HOUSE
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19555
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1600 - Food Program
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PR0548113
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COMPLIANCE INFO_2023
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Last modified
10/26/2023 3:41:02 PM
Creation date
10/26/2023 3:40:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0548113
PE
1619
FACILITY_ID
FA0027452
FACILITY_NAME
SAFEWAY INC #55
STREET_NUMBER
19555
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
01
SITE_LOCATION
19555 S MOUNTAIN HOUSE PKWY
P_LOCATION
03
QC Status
Approved
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SJGOV\ymoreno
Tags
EHD - Public
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Environmental Health Department <br />Facility Name and Address: SAFEWAY INC #55, 19555 S MOUNTAIN HOUSE PKWY, MOUNTAIN HOUSE 95391 <br />Food Program Official Inspection Report <br />9:25a-9:51a / 10:22a-12:01p inspection time <br />spray bottles: 200-400ppm Quat <br />All 3-comp warewash sinks 200ppm+ Quat / Quat test strips are available <br />Deli dishmachine 160F <br />Bakery dishmachine 160F <br />Shellfish tags - OK (held 90+ days) <br />Infant formula - OK <br />No signature(s) obtained <br />Report typed in the office 2:25p-2:53p <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) 616-3025 <br />discussed w/ Vidal Yerena, Director <br />KADEANNE LINHARES <br />Page 3 of 3EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0027452 PR0548113 SC001 10/18/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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