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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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PR0161920
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COMPLIANCE INFO_2021
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Last modified
1/11/2022 1:46:54 PM
Creation date
10/6/2021 4:18:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
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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EHD - Public
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S ` ` , J O A Q U I N Environmental Health Department <br /> C0U "ATY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LA SUPERIOR WATERLOO INC, 1536 WATERLOO RD, STOCKTON 95205 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Baldomero Alvarez Expiration Date:August 25,2022 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> meat display--39.00°F turbo air 2 door prep--57.00°F <br /> pork--steam table--140.00°F dessert closed diplay--40.00°F <br /> cheese display--41.00°F egg display--40.00°F <br /> cheese open case cooler--47.00°F ceviche--salsa display--41.00°F <br /> dessert open air display--41.00°F produce walk in--41.00°F <br /> dairy walk in--38.00°F bakery walk in--40.00°F <br /> NOTES <br /> sanitizer bucket 100 ppm chlorine <br /> no signature due covid 19 <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: NICHOLAS WIESEMAN Phone: <br /> FA0001649 PRO161920 SCO01 11/10/2021 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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