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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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KETTLEMAN
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1600 - Food Program
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PR0541581
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COMPLIANCE INFO_2023
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Last modified
12/15/2023 3:06:36 PM
Creation date
9/19/2023 3:56:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0541581
PE
1624
FACILITY_ID
FA0023837
FACILITY_NAME
WEST COAST SOURDOUGH
STREET_NUMBER
2602
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2602 W KETTLEMAN LN #120
P_LOCATION
02
QC Status
Approved
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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> .�M C0UT <br /> ikJF05 `.r Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: WEST COAST SOURDOUGH, 2602 W KETTLEMAN LN , LODI 95242 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Lovedeep Singh Expiration Date:June 12,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 103°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand wash--next to 3 comp sink--103.00°F soup--Hot hold--49.00°F <br /> 2 door Aritic Air reach in--Front(R)under cheese and sauce prep 2 door Artic Air reach in--Front under veggie prep--40.00°F <br /> --41.00°F <br /> Hand wash--Restroom- 111.00°F 3 comp--120.00°F <br /> walk in--41.00°F Prep sink--120.00°F <br /> 2 door Arctic Air reach in- Front(L)under cheese and suace Hand wash--103.00°F <br /> prep--41.00°F <br /> mop sink--128.00°F 2 door Artic Air--Front meat cooler--41.00°F <br /> NOTES <br /> Change of owner inspection. <br /> Major violation corrected on site. Time given for minor violations. No re inspection. <br /> Ok to issue permit once permit fee is paid ($355)and updated 5021 form is updated. <br /> PE 1624 <br /> Emailed inspection report to operator. <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: FRANCISCO RUIZ Phone: (209)616-3032 <br /> FA0023837 SR0087058 SC061 08/25/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />
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