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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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PR0161920
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COMPLIANCE INFO_2020
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Last modified
11/17/2020 2:49:48 PM
Creation date
10/14/2020 4:42:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0161920
PE
1619
FACILITY_ID
FA0001649
FACILITY_NAME
LA SUPERIOR WATERLOO INC
STREET_NUMBER
1536
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14115003
CURRENT_STATUS
01
SITE_LOCATION
1536 WATERLOO RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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JCastaneda
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EHD - Public
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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 12-50 pm <br /> •'C1FaR�;` G9reotness grows here. <br /> Time Out: 1:20 om <br /> Food Program Official Inspection Report <br /> Name of Facility: LA SUPERIOR WATERLOO INC Date: 09/22/2020 <br /> Address: 1536 WATERLOO RD, STOCKTON 95205 <br /> Owner/Operator: LA SUPERIOR WATERLOO INC Telephone: (916)933-0521 <br /> Program Element: 1619-RETAIL MKT>1000 SQ FT(=/>2 DEPTS) <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 /> 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 /> Re-inspection. <br /> A plumber was called to the facility and the floor sink was drained out and if functioning properly. <br /> Store director stated that another drain was having an issue and was properly repaired as well. <br /> No floor sinks are currently over filling or clogged on site at this time. <br /> Violation has been corrected, however a re-inspection will occur within two weeks time to monitor compliance with violations <br /> stated in the previous report. <br /> Official inspection report emailed. <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: <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0001649 PRO161920 SC333 09/22/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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