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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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1600 - Food Program
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PR0160152
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COMPLIANCE INFO_2023
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Last modified
9/26/2023 12:42:37 PM
Creation date
9/26/2023 11:35:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0160152
PE
1626
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN J 0 A Q , + I ` , Environmental Health Department <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LODI MEMORIAL HOSPITAL, 975 S FAIRMONT AVE, LODI 95240 <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed hatch on walk in cooler located in the bottom floor to be sealed with foil. Repair/replace <br /> damaged hatch panel within 2 weeks. <br /> Observed debris under 3 compartment sink in the ware washing area. Clean floors and maintain clean as needed daily. <br /> Correct today. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Guadalupe Navarro Expiration Date:September 22,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Imperial 6 door--Kitchen 1 under stove--41.00°F Employee bathroom hand sink--Bottom floor--100.00°F <br /> Hand wash--Warewashing--100.00°F Hand sink--Kitchen 2--100.00°F <br /> Air o Steam Electolux--Kitchen 1 --149.00°F True 1 door--Kitchen 1 cook line--39.00°F <br /> True 4 door--Kitchen 1 back--41.00°F Imperial--Taco area under flame grill--41.00°F <br /> Hot hold prep table--Taco Area--150.00°F Prep table 2 door--Taco area back near stove--41.00°F <br /> Prep table veggies 2 door--Taco area--41.00°F Hand sink--Kitchen 1 --106.00°F <br /> Traulsen top 1 door--Kitchen 1 --41.00°F Walk in Cafe--Upstairs--41.00°F <br /> walk in--Kitchen 1 -41.00°F General cooler walk in--Storage behind Kitchen 2--40.00°F <br /> Prep table hot hold -Kitchen 1 -185.00°F True 1 door--Pizza/Pasta area--41.00°F <br /> 4 door True--Taco Area--40.00°F Prep sink--Taco area corner--120.00°F <br /> Prep sink Taco Area 121.00°F Hand wash--Warewashing back--100.00°F <br /> Hand sink Kitchen 1 103.00°F 2 door prep table--Kitchen 1 --41.00°F <br /> True 2 door--Kitchen 1 --41.00°F Sandwich reach in--Cafe lobby--41.00°F <br /> Prep sink--Kitchen 2 baking area--120.00°F 4 door true--Kitchen 2 left side--41.00°F <br /> Prep sink--Kitchen 2--123.00°F 2 door prep table--Mongolian BBQ--41.00°F <br /> True 1 door--Mongolian BBQ--41.00°F Enchilada soup--Cafe lobby--141.00°F <br /> 4 door true--Kitchen 2 baking area--41.00°F 4 door veggies prep table--Mongolian BBQ--41.00°F <br /> Staff restrrom hand sink--Upstairs--100.00°F Prep sink--Mongolian BBQ--126.00°F <br /> Metro c5 hot hold--Kitchen 1 --135.00°F Hand wash--Mongolian BBQ--104.00°F <br /> Hot holding Prep table--Mongolian BBQ--135.00°F Imperial two door--Taco Area under flat iron grill--41.00°F <br /> Electrolux Air o Steam--Kitchen 2--145.00°F Prep sink--Kitchen 1 next to metro hot hold--121.00°F <br /> Deli reach in--Cafe lobby--41.00°F Meat cooler walk in--Storage behind Kitchen 2--38.00°F <br /> Naked Cooler 1 door--Cafe lobby--40.00°F 3 comp sink--Warewashing--120.00°F <br /> Prep sink--Kitchen 1 --120.00°F 2 door Prep table--Pizza/pasta area--41.00°F <br /> Salad bar--Cafe lobby--40.00°F 4 door true--Kitchen 2 right side--41.00°F <br /> FA0000513 PRO160152 SCO01 08/01/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 3 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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