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SR2501198_2025
Environmental Health - Public
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1600 - Food Program
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SR2501198_2025
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Entry Properties
Last modified
4/18/2026 8:48:26 AM
Creation date
4/18/2026 8:46:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
SR2501198
PE
1602 - FOOD PROGRAM CHANGE OF OWNER
FACILITY_ID
FA0021301
FACILITY_NAME
CREPE TEA LODI
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06037001
CURRENT_STATUS
Pending
QC Status
Approved
Scanner
SJGOV\jcastaneda
Supplemental fields
Site Address
1110 #2 W KETTLEMAN LN LODI 95240
Suite #
#2
Tags
EHD - Public
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Program Element: 1602 - FOOD PROGRAM CHANGE OF OWNER <br />Telephone: () - Requestor: <br />Inspection Type: 521 - Plan Check/Report Review <br />Address: 1110 W KETTLEMAN LN , LODI 95240 <br />Date: 06/19/2025Name of Facility: CREPE TEA LODI <br />Food Program Service Request Inspection Report <br />Request #: SR2501198 <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 />#21 Hot and Cold Potable Water Not Available <br />OBSERVATIONS: Hot water at 3 compartment sink at 112 F. Adjust water heater so it provides 120 F. Correct prior to operating <br />the business. <br />CALCODE DESCRIPTION: An adequate, protected, pressurized, potable supply of hot water and cold water shall be provided at all <br />times. (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <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 />100 <br />112 <br />air -- kutano frige -- 40º Fahrenheit <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Owner/operator/employees must obtain a food handler card within 30 days of employment and maintain copies at the facility. <br />This facility will share the restroom and janitor sink with the main building. <br />This facility will serve hot/cold drinks. <br />Ok to issue permit. Obtain permit prior to operating the business. <br />PE 1612 <br />Page 1 of 2EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br />FA0021301 SR2501198 SC521 06/19/2025
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