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�...Q .. P San Joaquin County <br /> y� Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �..• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: A&W ROOT BEER OF LODI, 216 E LODI AVE, LODI 95240 <br /> HW 2--108.00°F RR women(premixed)--85.00°F <br /> 2D cooler--counter--39.00°F 2D Superior--40.00°F <br /> 2D Blue Air/Prep table--41.00°F RR men(premixed)--100.00°F <br /> NOTES <br /> Sanitizer buckets: 200 ppm quat <br /> There are currently about 300 pounds of carbon dioxide (CO2)in a tank at the facility. Please be aware that CO2 among <br /> other various compressed gas is an asphyxiant and is therefore considered a hazardous material subjected to regulation <br /> under Chapter 6.95, Health and Safety Code, Division 20. The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet <br /> in San Joaquin County(SJC). You will be placed into SJC Environmental Health Department(EHD)Program 1919 for <br /> Hazardous Material Business Plan (HMBP)and California Environmental Reporting System (CERS)compliance. For more <br /> information or to comply with the reporting requirement in CERS, go to http://cers.calepa.ca.gov/ <br /> If you have persistent problem in creating an account or submitting information to CERS, you may contact Toby Morelli at <br /> 468-3421 for assistance. <br /> A Routine CERS CO2 inspection will be conducted after 30 days. <br /> OIR emailed to awrootbeerlodi@gmail.com <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: bryan knight, mgr <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0000702 PRO161769 SCO01 08/08/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />