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COMPLIANCE INFO_COMPLIANCE INFO 2020
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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PR0160050
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Last modified
5/22/2020 2:38:38 PM
Creation date
4/15/2020 9:29:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0160050
PE
1624
FACILITY_ID
FA0000137
FACILITY_NAME
STAR DONUTS
STREET_NUMBER
1040
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06004019
CURRENT_STATUS
01
SITE_LOCATION
1040 W KETTLEMAN LN STE 2
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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JCastaneda
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EHD - Public
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San Joaquin County <br /> :i Environmental Health Department <br /> W' ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> Food Program Official Inspection Report <br /> Facility Name and Address: STAR DONUTS, 1040 W KETTLEMAN LN, LODI 95240 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Kimberly Nhorn Expiration Date:November 14,2017 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 101 °F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> hand sink--next to 2 comp-- 101.00°F Arctic air refrigerator--behind front counter--41.00°F <br /> hand sink--counter-- 100.00°F 2 comp-- 121.00°F <br /> display refrigerator--customer seating area--44.00°F hand sink--restroom-- 102.00°F <br /> mopsink-- 126.00°F 3 comp-- 123.00°F <br /> NOTES <br /> No comment entered. <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: kimberly nhorn, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0000137 PRO160050 SCO01 09/08/2015 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />
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