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COMPLIANCE INFO_2022
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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PR0162994
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COMPLIANCE INFO_2022
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Last modified
6/9/2022 8:10:04 AM
Creation date
6/9/2022 8:08:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0162994
PE
1616
FACILITY_ID
FA0000483
FACILITY_NAME
BILLS 76
STREET_NUMBER
633
Direction
E
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04321055
CURRENT_STATUS
01
SITE_LOCATION
633 E VICTOR RD STE A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: BILLS 76, 633 E VICTOR RD, LODI 95240 <br />Food Program Official Inspection Report <br /> #45 Floors, Walls, Ceilings; Clean and Maintained <br />OBSERVATIONS: Observed dust build up on storage room and retail area ceiling vents. Clean within 1 week and maintain <br />clean. <br />Observed debris on floor in walk-in cooler under shelves and in storage room around soda syrup shelf. Clean within 1 week <br />and maintain clean. <br />Observed missing ceiling tile in retail area. Install ceiling tile within 2 weeks. <br />CALCODE DESCRIPTION: The walls / ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor <br />surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br />cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original <br />unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143 (d), <br />114266, 114268, 114268.1, 114271, 114272) <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 />walk-in -- 41.00º F 2 dr True pepsi display -- retail area -- 36.00º F <br />3 dr True display -- retail area, near coffee -- 41.00º F hand sink -- restroom -- 67.00º F <br />original coffee creamer (cold hold) -- dispenser -- 41.00º F 2 comp sink -- back room -- 120.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />Quat test strips available. <br />Soda machine, coffee, slushy, donuts, and prepackaged food at facility. <br />Discussed report with employee. <br />No signature captured. <br />Maintain a copy of this report on site. <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) 616-3035 <br />, <br />DARIA AFONSKAIA <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0000483 PR0162994 SC001 06/07/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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