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Time In: 1.00 pm <br /> Time Out: 1:30 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.s'gov.org/ehd <br /> Food Program Service Request Inspection Report <br /> Name of Facility: CHILL NUTRITION Date: 10/10/2018 <br /> Address: 430 S CHEROKEE LN , LODI 95240 <br /> Requestor: MICKEY SICKLE, MCW CONSTRUCTION Telephone: (916)871-2777 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0079623 <br /> Inspection Type: 523-Plan Check/Report Review <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 121 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 D cooler--40.00°F Hand sink--Rest room--110.00°F <br /> Mop sink--120.00°F <br /> NOTES <br /> Schluter base coving is installed at the counter units facing the food prep area. <br /> Provide food manager certificate within 60 days. <br /> Self closing device is installed to the rest room door. <br /> Community Development Department inspection is done on 10/09/18 <br /> OIR emailed to mcwconstruction@att.net; chillnutritionlodi@gmail.com <br /> Ok to permit. <br /> Obtain permit prior operating business. <br /> PE 1623 $350 to be paid. <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 /> Jg/A_/L_ <br /> Received by: Name and Title: Leila Morgan, Owner <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> SR0079623 SC523 10/10/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />