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COMPLIANCE INFO_2021
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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PR0501239
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COMPLIANCE INFO_2021
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Last modified
4/15/2021 5:03:15 PM
Creation date
4/15/2021 5:00:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0501239
PE
1618
FACILITY_ID
FA0023117
FACILITY_NAME
WALGREENS #2961
STREET_NUMBER
75
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03704423
CURRENT_STATUS
01
SITE_LOCATION
75 N HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Time In: <br />12:40 pm <br />12:19 pm <br />Time Out: <br />Program Element: 1618 - RETAIL MKT >2000 SQ FT (PREPKGD / LTD PREP) <br />Telephone: Owner/Operator: WALGREENS CO <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 75 N HAM LN, LODI 95242 <br />Date: 04/15/2021Name of Facility: WALGREENS #2961 <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 100 <br />n/a <br />OVERALL INSPECTION NOTES AND COMMENTS <br />men's restroom hand sink -- 100.00º F walk-in cooler -- 38.00º F <br />women's restroom hand sink -- 100.00º F mop sink -- 120.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />All pre-packaged food / no food prep <br />No signature obtained / COVID-19 <br />Report typed at the office 2:38p-2:43p <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:Phone:(209) 616-3025 <br />Discussed w/ Sonia Lopez, shift lead <br />KADEANNE LINHARES <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0023117 PR0501239 SC001 04/15/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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