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CO0055910
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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1600 - Food Program
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CO0055910
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Last modified
11/19/2024 3:47:16 PM
Creation date
8/2/2023 11:40:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
RECORD_ID
CO0055910
PE
1600
FACILITY_ID
FA0001099
FACILITY_NAME
PHILLIPS FARMS
STREET_NUMBER
4580
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
05516050
ENTERED_DATE
6/14/2023 12:00:00 AM
SITE_LOCATION
4580 W HWY 12
RECEIVED_DATE
6/14/2023 12:00:00 AM
P_DISTRICT
004
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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#8 Use of Time as a Public Health Control <br />OBSERVATIONS: The bacon above the griddle was 63 F. Per manager the bacon was placed there at 12 PM and it has a <br />3 hour hold time. No records/documentation were available. Maintain records/documentation when time is used as the <br />public health control and do not exceed 4 hour max hold time. Correct immediately. <br />CAL CODE DESCRIPTION: When time only, rather than time and temperature is used as a public health control, records and <br />documentation must be maintained (114000) <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: Juan Santos Expiration Date: February 07, 2028 <br /> <br />Warewash Chlorine (CI): 50 ppm Heat: ° F Water/Hot Water Ware Sink Temp: 120 ° F <br /> <br />Quaternary Ammonia (QA): <br /> <br />ppm Hand Sink Temp: 100 ° F <br /> <br />FOOD ITEM -- LOCATION --TEMP ° F -- COMMENTS <br />3 D Beverage Air — contains sliced tomatoes & potato salad — <br />41.00° F <br />potato salad (cold hold) -- ice bath at cook line -- 42.00° F -- range <br />41-43 F <br />sliced cheese (cold hold) — prep top at cook line -- 41.00° F <br />1 D True reach-in — contains cheese -- 41.00° F <br />sliced tomatoes (cold hold) -- prep top at cook line — 40.00° F <br />walk-in — warehouse building — 39.00° F <br />bacon — above griddle -- 63.00° F <br />COMMENTS AND OBSERVATIONS <br /> <br />Complaint inspection. <br />Manager was not aware of complaint. <br />Per manager none of the employees have come in to work ill during the past 2 weeks. <br />The lettuce used in the BLT arrives prewashed and ready to use, lettuce is only portioned on site. <br />Per manager the bacon is cooked, cooled, and refrigerated. When it will be used the container is kept above the griddle at <br />room temp and the bacon is reheated to order. Per manager the bacon has a 3 hour max hold time. <br />The potato salad is kept refrigerated throughout and stored in ice bath when it will be used. <br />Per manager the pies are made daily. <br />Food handler cards were current. <br />Sanitizer buckets: cafe-200 ppm quat & bakery-100 ppm chlorine. <br />Discussed report with Juan Santos, Manager. <br />No signature captured. <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: DARIA AFONSKAIA Phone: (209) 616-3035 <br />FA0001099 C00055910 SC004 06/21/2023 <br />EH D 16-23 Rev, 04/07/22 Page 2 of 2 <br /> Complaint Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd
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