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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., iP• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �IFORN <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: POPEYES, 16837 S HARLAN RD , LATHROP <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Gap in grout at coving tiles. Seal grout prior to opening. <br /> Electrical plate not installed. Install prior to opening. <br /> Clean throughout prior to opening. <br /> CALCODE DESCRIPTION: The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Cynthia Caserta Expiration Date:October 30,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk-in--41.00°F <br /> NOTES <br /> Ok to permit once fees have been paid. Return to EHD and pay for permit. 1625$342 + 1919 <br /> There is currently more than 137 pounds of carbon dioxide(CO2)at the facility. Please be aware that CO2 is an asphyxiate <br /> and is therefore considered a hazardous material subject to regulation under Chapter 6.95, Health and Safety Code, Division <br /> 20. The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin County(SJC). You will be placed into <br /> SJC Environmental Health Department Program 1919 for Hazardous Material Business Plan (HMBP)and California <br /> Environmental Reporting System (CERS)compliance. For more information or to comply with the reporting requirement in <br /> CERS, please go to: http://cers.calepa.ca.gov/ <br /> 2 W/H are 9.8 gpm. <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 /> Qk <br /> Received by: Name and Title: Cody, <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> SR0074078 SC523 03/03/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />