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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WAGNER HEIGHTS
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1600 - Food Program
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PR0527305
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COMPLIANCE INFO_2023
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Last modified
8/4/2023 2:17:32 PM
Creation date
8/4/2023 2:16:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0527305
PE
1628
FACILITY_ID
FA0010809
FACILITY_NAME
MEADOWOOD A HEALTH & REHAB CTR
STREET_NUMBER
3110
STREET_NAME
WAGNER HEIGHTS
STREET_TYPE
RD
City
STOCKTON
Zip
95209
APN
08039012
CURRENT_STATUS
01
SITE_LOCATION
3110 WAGNER HEIGHTS RD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: MEADOWOOD A HEALTH & REHAB CTR, 3110 WAGNER HEIGHTS RD, STOCKTON 95209 <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 /> 160 132 <br /> 100 <br />Pedro Jaime July 16, 2024 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />ground chicken (hot hold) -- steam table -- 158.00º F pasta (hot hold) -- steam table -- 155.00º F <br />hand sink -- restroom -- 100.00º F 2 comp sink -- 120.00º F <br />produce walk-in -- 40.00º F brussel sprouts (hot hold) -- steam table -- 160.00º F <br />mop sink -- 130.00º F in counter sink -- 120.00º F <br />dairy walk-in -- 39.00º F 3 comp sink -- 132.00º F <br />2 D Traulsen -- 46.00º F 1 comp sink -- 126.00º F <br />hand sink -- kitchen -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />Quat and thermolabel test strips were available. <br />Sanitizer buckets - 300 ppm quat. <br />Discussed report with Pedro Jaime. <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 />FA0010809 PR0527305 SC001 07/13/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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