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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0160031
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
4/25/2024 3:40:55 PM
Creation date
4/25/2024 3:40:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0160031
PE
1624
FACILITY_ID
FA0000936
FACILITY_NAME
THE HIDDEN TEA ROOM
STREET_NUMBER
310
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
LODI
Zip
95240
APN
03725005
CURRENT_STATUS
01
SITE_LOCATION
310 N CALIFORNIA ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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Environmental Health Department <br />Time In: <br />11:00 am <br />10:40 am <br />Time Out: <br />Program Element: 1624 - RESTAURANT/BAR 21-50 SEATS <br />Telephone: (209) 405-5755 Owner/Operator: JURADO, ELIZABETH <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 310 N CALIFORNIA ST, LODI 95240 <br />Date: 04/25/2024Name of Facility: THE HIDDEN TEA ROOM <br />Food Program 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 /> 50 120 <br /> 134 <br />Elizabeth Jurado December 08, 2027 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />hand sink -- near dishwasher -- 134.00º F 3 comp sink -- front counter -- 120.00º F <br />Gladiator residential refrigerator -- side storage room -- 41.00º F 1 door Atosa reach in cooler w prep top -- prep area -- 41.00º F <br />hand sink -- Men & Women restrooms -- 100.00º F 1 comp sink -- near dishwasher -- 120.00º F <br />hand sink -- employee restroom -- 100.00º F 2 door display cooler -- front counter -- 41.00º F <br />mop sink -- 126.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine 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) 616-3032 <br />, <br />FRANCISCO RUIZ <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0000936 PR0160031 SC001 04/25/2024 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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