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Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0526980
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Last modified
5/15/2020 4:04:31 PM
Creation date
2/21/2019 2:38:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526980
PE
1625
FACILITY_ID
FA0018278
FACILITY_NAME
MIKASA JAPANESE BISTRO
STREET_NUMBER
15138
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
Rd
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
15138 S Harlan Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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Time In: 10.58 am <br /> Time Out: 11:15 am <br /> PQ��N San Joaquin County <br /> �Q.��•cGG <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �., iP Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> 9�tkoR� <br /> Food Program Official Inspection Report <br /> Name of Facility: MIKASA JAPANESE BISTRO Date: 06/09/2016 <br /> Address: 15138 S HARLAN RD, LATHROP 95330 <br /> Owner/Operator: YU, HARRY G Telephone: (209)830-8288 <br /> Program Element: 1625-RESTAURANT/BAR 51-100 SEATS <br /> Inspection Type: INSPECTION/REINSPECTION 1 hr minimum <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 /> #27 Food Protected from Contamination <br /> OBSERVATIONS:Slight mold build-up in ice machine. Clean today. <br /> CALCODE DESCRIPTION:All food shall be separated and protected from contamination. (113984(a, b, c,d, t), 113986, 114060, <br /> 114067(a, d, e,j), 114069(a,b), 114077, 114089.1 (c), 114143(c)) <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Build-up on equipment throughout facility. Clean as needed. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> *No timer available or food using timer at time of 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: Ana,Waitress <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0018278 PRO526980 SC333 06/09/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />
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