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Time In: 12-00 pm <br /> Time Out: 12:42 pm <br /> �P.�•u�I!. P San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. ;v • Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �iFORN <br /> Food Program Complaint Inspection Report <br /> Name of Facility: Popeyes#11833 Date: 03/01/2017 <br /> Address: 612 E KETTLEMAN LN, LODI 95240 <br /> Owner/Operator: CHARANJIV DHALIWAL Telephone: (209)339-1120 <br /> Program Element: 1600-FOOD PROGRAM Complaint#: C00043006 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANT ALLEGES THEY ATE AT THE FACILITY IN THE AFTERNOON ON 2/25/2017. COMPLAINANT <br /> CONSUMED WAFFLE CHICKEN STRIPS, FRENCH FRIES AND KETCHUP.APPROXIMATELY 12 HOURS LATER <br /> BECAME ILL WITH SYMPTOMS OF SEVERE DIARRHEA AND NAUSEA. <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 closure of <br /> the food facility. <br /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS:Supply bag for the sanitizer mixture equipment was empty and mixture 0 ppm quat at 3-comp sink(the <br /> bag seems to have become empty recently since 2 sanitizer buckets obtained from the same equipment were 200 ppm <br /> quat). Immediately provide 200 ppm quat. Corrected. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Mika Long Expiration Date:August 18,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 IF <br /> Quaternary Ammonia(QA): 0 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Interviewed management: <br /> -Not aware of complaint or similar complaint <br /> -No employee has called in sick, nor aware of any of their family members sick <br /> -No employee has been out of country recently <br /> -Employee does eat food prepared at this facility <br /> Observed: <br /> 1. Raw chicken strips in cooler 40 F <br /> 2. Coated with flour,then dripped into batter in cooler 41 F, recoated with flour <br /> 3. Deep fried to 170 F <br /> 4. Store under heat lamp up to 30 minutes <br /> FA0000452 C00043006 SCO04 03/01/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Complaint Inspection Report <br />