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Time In: 1.40 pm <br /> Time Out: 2:28 om <br /> �...Q .. C San Joaquin County <br /> .X 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 /> Food Program Service Request Inspection Report <br /> Name of Facility: JULIS AND RALEIGHS VILLAGE CAFE Date: 12/07/2018 <br /> Address: 700 VICTOR RD , LODI 95240 <br /> Requestor: JULIANNA K JETTE,VILLAGE COFFEE SHOP Telephone: (209)368-1929 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0079624 <br /> Inspection Type: 061 -CONSULTATION <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Raleigh Morrow Expiration Date:July 16,2023 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 134°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 126°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hnad sink--Men rest room--100.00°F Hand sink Women rest room--100.00°F <br /> Mop sink--130.00°F Prep sink--129.00°F <br /> NOTES <br /> Final inspection for changing ownership. <br /> All major violations had been corrected.Ware wash and hand sinks temp are complying with codes. <br /> Food safety certificate and food handler cards are provided. <br /> Okay to operate once permit fee is paid. <br /> PE 1625 plus the charge for the final inspection done on 12/07/2018(48 min)$121.60 <br /> OIR emailed to navionpro@comcast.net <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: 9/ i Name and Title: Juli Jette, Owner <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0000488 SR0079624 SC061 12/07/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />