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SR2501041_2025
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOWER SACRAMENTO
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1401
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1600 - Food Program
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SR2501041_2025
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Entry Properties
Last modified
4/17/2026 9:50:32 AM
Creation date
4/17/2026 9:47:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
SR2501041
PE
1602 - FOOD PROGRAM CHANGE OF OWNER
FACILITY_ID
FA0025115
FACILITY_NAME
SWEET LAB BOBA TEA & DESSERTS
STREET_NUMBER
1401
Direction
S
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
LODI
Zip
95242
CURRENT_STATUS
In Review
QC Status
Approved
Scanner
SJGOV\jcastaneda
Supplemental fields
Site Address
1401 #130 S LOWER SACRAMENTO RD LODI 95242
Suite #
#130
Tags
EHD - Public
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Program Element: 1602 - FOOD PROGRAM CHANGE OF OWNER <br />Telephone: () - Requestor: <br />Inspection Type: 001 - Routine <br />Address: 1401 S LOWER SACRAMENTO RD , LODI 95242 <br />Date: 05/21/2025Name of Facility: SWEET LAB BOBA TEA & DESSERTS <br />Food Program Service Request Inspection Report <br />Request #: SR2501041 <br />Environmental Health Department <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; <br />113700. All violations must be corrected within specified timeframe. Violations that are classified as "MAJOR" pose an immediate threat to public health <br />and have the potential to cause foodborne illness. All major violations must be corrected immediately. Non-compliance may warrant immediate <br />closure of the food facility. <br />OVERALL INSPECTION NOTES AND COMMENTS <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 />5/15/2030James Gillespie <br />300 100 <br />120 <br />hand sink -- front -- 100º Fahrenheit hand sink -- kitchen -- 100º Fahrenheit <br />1 door reach in w prep top -- 41º Fahrenheit 2 door upright refrigerator -- 41º Fahrenheit <br />hand sink -- across 3 comp sink -- 123º Fahrenheit mop sink -- 120º Fahrenheit <br />hand sink -- restroom -- 100º Fahrenheit <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Change of owner inspection. <br />PE 1614 <br />OK to issue permit once permit fee ($391) is paid and 5021 form is submitted. <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) 616-3032 <br />, <br />FRANCISCO RUIZ <br />, <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br />FA0025115 SR2501041 SC001 05/21/2025
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