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Time In: 12-54 prn <br /> Time Out: 2:101)m <br /> �P.Q•u��.. P San Joaquin County <br /> y� 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 /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Name of Facility: VILLAGE COFFEE SHOP Date: 05/18/2016 <br /> Address: 416 W LODI AVE, LODI 95240 <br /> Owner/Operator: HIXSON, RAMONA Telephone: <br /> Program Element: 1624-RESTAURANT/BAR 21-50 SEATS <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:Observed two expired food handler cards. <br /> Provide valid food handler cards. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS:Sanitizer in sanitizer compartment of 3 comp sink is at 50ppm. Provide sanitizer at a minimum of <br /> 100ppm (chlorine)or 200ppm (quat). Ok, corrected onsite. sanitizer now at 100ppm (chlorine). <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: Ramona Hixson Expiration Date:August 19,2019 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 127°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 127°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> reach-in--under prep/next to griddle--41.00°F 2 door reach-in--40.00°F <br /> milk refrigerator--storage area--43.00°F small 3 comp--120.00°F <br /> pie case--41.00°F 3 comp/hand sink--127.00°F <br /> 2 door reach-in--under prep--41.00°F mop sink/restroom hand sink--126.00°F <br /> 2 door Blue Air--40.00°F reach-in(wood box refrig)--41.00°F <br /> NOTES <br /> sanitizer bucket 100ppm (chlorine) <br /> FA0001042 PRO160081 SCO01 05/18/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />