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Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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1600 - Food Program
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PR0160122
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COMPLIANCE INFO
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Last modified
10/30/2019 9:02:13 AM
Creation date
10/21/2019 8:42:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160122
PE
1626
FACILITY_ID
FA0001793
FACILITY_NAME
OCTAVIO'S
STREET_NUMBER
3201
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10017009
CURRENT_STATUS
01
SITE_LOCATION
3201 W BENJAMIN HOLT DR STE 155
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SA NUJ OAHU I N Environmental Health Department <br /> L■ COUNTY <br /> ^ r1 `p' Greorne5S grows Frere, Time In: 120 pm <br /> Time Out: 1:50 om <br /> Food Program Official Inspection Report <br /> Name of Facility: OCTAVIO'S Date: 09/06/2019 <br /> Address: 3201 W BENJAMIN HOLT DR, STOCKTON 95219 <br /> Owner/Operator: CRUCES FLORES LLC Telephone: (209)451-1116 <br /> Program Element: 1626-RESTAURANT/BAR 101 +SEATS <br /> Inspection Type: INSPECTION/REINSPECTION (Chargeable) <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 /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Hot water handle for 3 comp faucet is damaged-unable to turn off hot water. Repair/replace handle by <br /> 1-2 weeks. <br /> There is leak underneath 3 comp sink(left waste line). Repair by 1 week. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Wall behind tortilla work station is absorbent. Owner stated 2 weeks ago that contractor will install <br /> granite. Provide granite and seal by 1 month. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <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 /> new 3 door prep cooler--cooks line--39.00°F large pot of black bens--walk in--41.00°F <br /> NOTES <br /> FA0001793 PRO160122 SC333 09/06/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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