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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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PR0518097
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COMPLIANCE INFO_2021
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Last modified
12/8/2021 11:17:27 AM
Creation date
12/8/2021 11:14:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0518097
PE
1625
FACILITY_ID
FA0013693
FACILITY_NAME
LEHA 219 INC DBA KFC LICENSEE
STREET_NUMBER
150
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
Ave
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
150 E Louise Ave
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: LEHA 219 INC DBA KFC LICENSEE, 150 E Louise Ave, LATHROP 95330 <br />Food Program Official Inspection Report <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 />Crystal Hicks <br />OVERALL INSPECTION NOTES AND COMMENTS <br />restroom hand sinks -- 100.00º F chicken strips -- 157.00º F <br />chicken breast -- 164.00º F chicken fillet - out of oil -- 170.00º F <br />hot dog -- 40.00º F mac & cheese -- 131.00º F <br />chicken - out of pressure fryer -- 178.00º F sliced cheese -- 40.00º F <br />gravy -- 157.00º F coleslaw -- 40.00º F <br />popcorn chicken -- 155.00º F 1 door dessert prep -- 37.00º F <br />1 drawer Perlick freezer -- 21.00º F -- no product in unit walk-in cooler -- 41.00º F <br />chicken pot pie -- 190.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />wiping cloth buckets 200 ppm Quat / test strips available (both Quat and Cl) <br />Facility has bulk CO2 / properly secured <br />A re-inspection will occur in 2 1/2 weeks <br />No signature obtained <br />Report typed up at the office 3:39pm-4pm <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/ Elizabeth Gitau, relief M <br />KADEANNE LINHARES <br />Page 3 of 3EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0013693 PR0518097 SC001 12/02/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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