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COMPLIANCE INFO_2017-2019
Environmental Health - Public
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PR0522559
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COMPLIANCE INFO_2017-2019
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Entry Properties
Last modified
12/31/2020 11:21:20 AM
Creation date
12/31/2020 11:16:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-2019
RECORD_ID
PR0522559
PE
1635
FACILITY_ID
FA0015369
FACILITY_NAME
TAQUERIA COSTA GRANDE #4D25755
STREET_NUMBER
620
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04532005
CURRENT_STATUS
01
SITE_LOCATION
620 S SACRAMENTO ST
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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QP41klt1• c San Joaquin County <br /> h . <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 9GiFORa <br /> Mobile Food Facility Service Request Inspection Report <br /> Facility Name and Address: LA FONDITA #025755, 620 S SACRAMENTO ST , LODI 95240 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Maria Alvarado Expiration Date: November 16,2019 <br /> Warewash Chlorine(CI): 100 ppm Heat: -F Water/Hot Water Ware Sink Temp 146"F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 120°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> Steam table-- 158.00°F 2 d reach in cooler--44.00°F <br /> NOTES <br /> Consultation inspection to reactivate the permit. <br /> LIC #4D25755 <br /> VIN.....18215 <br /> Chlorine and its test strips are available on site. <br /> No major violations observed. <br /> Okay to issue permit for 2019 once fee is paid. <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 Safeb <br /> Code. If a reinspection is required,fees will be assessed at the current hourly rate. <br /> 4YA M7- <br /> Received by: Name and Title: Ruth Martinez, Co owner <br /> EH Specialist: GEHANE FAHMY Phone: (209) 953-7698 <br /> FA0015369 SR0080294 SCO61 03/06/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Mobile Food Facility Service Request Inspection Report <br />
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