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COMPLIANCE INFO_2021
Environmental Health - Public
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1600 - Food Program
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PR0516336
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COMPLIANCE INFO_2021
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Last modified
7/22/2021 7:37:16 AM
Creation date
6/30/2021 1:45:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0516336
PE
1615
FACILITY_ID
FA0012563
FACILITY_NAME
Ross Dress For Less #0477
STREET_NUMBER
340
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
340 W Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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Environmental Health Department <br />Time In: <br /> 2:15 pm <br /> 1:49 pm <br />Time Out: <br />Program Element: 1615 - RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP) <br />Telephone: (925) 965-4831 Owner/Operator: ROSS DRESS FOR LESS, INC <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 340 W Kettleman Ln, LODI 95240 <br />Date: 06/14/2021Name of Facility: Ross Dress For Less #0477 <br />Reinspection on or after: 06/28/2021 <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 /> #21 Hot and Cold Potable Water Not Available <br />OBSERVATIONS: Hot water at mop sink is at 76F. <br />Provide hot and cold water at this sink with hot water at a minimum of 120F. <br />Repeat violation. <br />CALCODE DESCRIPTION: An adequate, protected, pressurized, potable supply of hot water and cold water shall be provided at all times. <br />(113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <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 />OVERALL INSPECTION NOTES AND COMMENTS <br />hand sink -- Mne's restroom -- 100.00º F mop sink -- 76.00º F <br />hand sink -- Women's restroom -- 113.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Signature not captured due to COVID. <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: <br />Patrick, manager, <br />STEPHANIE RAMIREZ <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0012563 PR0516336 SC001 06/14/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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