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COMPLIANCE INFO
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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PR0160289
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COMPLIANCE INFO
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Last modified
5/29/2020 1:17:29 PM
Creation date
1/9/2020 8:40:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0160289
PE
1615
FACILITY_ID
FA0000121
FACILITY_NAME
CVS Pharmacy #9261
STREET_NUMBER
100
Direction
W
STREET_NAME
LODI
STREET_TYPE
Ave
City
Lodi
Zip
95240
APN
04521002
CURRENT_STATUS
01
SITE_LOCATION
100 W Lodi Ave
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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Time In: 12-58 pm <br /> Time Out: 1:26 pm <br /> �P.Q•��k. P San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �•.• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.orq/ehd <br /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: CVS Pharmacy#9261 Date: 03/08/2018 <br /> Address: 100 W Lodi AVE , LODI 95240 <br /> Requestor: COREEN PAUL, NORR ASSOCIATES INC Telephone: (916)453-3800 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0078707 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink- restroom Pharmacy -103.00°F hand sink--Unisex(R)--105.00°F <br /> hand sink--Unisex restroom(L)--111.00°F <br /> NOTES <br /> Note: Insta-hot water heater installed at Pharmacy restroom. <br /> Water heater 30 gallons <br /> Plan check final-ok <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: Jose Arteaga, Superintendent <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0000121 SR0078707 SC523 03/08/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />
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