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Time In: 1'a<om <br /> Time Out: 215 om <br /> a�au,N. s San Joaquin County <br /> •< Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> -`d. p.• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s clov.org/ehd <br /> Food Program Complaint Inspection Report <br /> Name of Facility: BLUE SHIELD OF CALIFORNIA Date: 08/25/2017 <br /> Address: 3021 REYNOLDS RANCH PKWY, LODI 95240 <br /> Owner/Operator: BLUE SHIELD OF CALIFORNIA Telephone: (209)371-3822 <br /> Program Element: 1600-FOOD PROGRAM Complaint#: C00044058 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANT ALLEGES THEY FOUND A WORM IN SALAD ON 8/21/2017. COMPLAINANT STATES THE WORM <br /> WAS ABOUT 3 INCHES IN LENGTH. <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 /> FOOD ITEM--LOCATION--TEMP°F—COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Management aware of complaint, stated what the complainant had shown them was the stem of a piece of red lettuce. <br /> Management also showed me what it looked like. Inspected the bagged and unbagged salad which facility receives from San <br /> Francisco Speciality(510)952-8495;did not see any signs of worm or other contamination. <br /> OIR emailed to vineyard.cafe@blueshieldca.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 rale. <br /> .rte _ <br /> Received by: Name and Title: brat iackson chef <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FAD019418 000044058 SC004 08125/2017 <br /> EHU 16-23 Rev.easel Page 1 of 1 Food Program Complaint Inspection Report <br />