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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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PR0526193
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COMPLIANCE INFO_2023
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Last modified
10/25/2023 4:35:28 PM
Creation date
10/25/2023 4:35:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0526193
PE
1614
FACILITY_ID
FA0017724
FACILITY_NAME
JUICE IT UP #KD6263
STREET_NUMBER
2533
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2533 W KETTLEMAN LN STE 401
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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Environmental Health Department <br />Time In: <br />12:07 pm <br />11:47 am <br />Time Out: <br />Program Element: 1614 - FOOD EST>1001 SQ FT W/O SEATING <br />Telephone: (209) 649-8648 Owner/Operator: WOLCOTT, DAN A <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 2533 W KETTLEMAN LN, LODI 95242 <br />Date: 10/06/2023Name of Facility: JUICE IT UP #KD6263 <br />Food Program Official Inspection Report <br />VIOLATIONS AND CORRECTIVE ACTIONS <br />Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; 113700. All <br />violations must be corrected within specified timeframe. Violations that are classified as "MAJOR" pose an immediate threat to public health and have the <br />potential to cause foodborne illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of the food facility. <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 /> 300 <br /> 121 <br /> 100 <br />Kimberly Wolcott May 18, 2027 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />mop sink -- 125.00º F Frigidaire cooler -- 41.00º F <br />3 comp sink -- 121.00º F 2 door reach in Blue Air refrigerator -- 41.00º F <br />2 door upright True refrigerator -- 41.00º F Hand sink -- restroom -- 104.00º F <br />Upright Blue Air refrigerator -- 41.00º F prep sink -- 128.00º F <br />3 door reach in Turbo Air refrigerator -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No comment entered. <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 Safety <br />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) 616-3032 <br />, <br />FRANCISCO RUIZ <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0017724 PR0526193 SC001 10/06/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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