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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FORT DONELSON
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3708
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1600 - Food Program
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PR0522657
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COMPLIANCE INFO
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Last modified
6/6/2019 2:11:50 PM
Creation date
6/6/2019 2:10:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522657
PE
1620
FACILITY_ID
FA0002318
FACILITY_NAME
NORTH LAKE HOMEOWNERS ASSN
STREET_NUMBER
3708
STREET_NAME
FORT DONELSON
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09806055
CURRENT_STATUS
01
SITE_LOCATION
3708 FORT DONELSON DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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San Joaquin County <br /> _., Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> Food Program Official Inspection Report <br /> Facility Name and Address: NORTH LAKE HOMEOWNERS ASSN, 3708 FORT DONELSON DR, STOCKTON 95219 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(CO: ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM --LOCATION --TEMP° F--COMMENTS <br /> (L)kenmore--57.00°F (R) kenmore--with potentially hazardous food-hot dogs,ect-- <br /> 35.00°F <br /> NOTES <br /> Observed potentially hazardous foods in the left and cooler with the hot dogs (swim meet food).The refrigerator is warm. <br /> Recommend keeping it at 41 F or lower at all times to prevent food borne illness and tossing food. <br /> Sell only pre-packaged non potentially hazardous foods to members <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: Report will be emailed/faxed to HOA, <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0002318 PR0522657 SCO01 07/12/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />
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