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... . San Joaquin County <br /> )O. .QOG <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. �a• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �/PORN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: PANERA BREAD#972, 10718 TRINITY PKWY, STOCKTON 95219 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Sokhun Thoeum Expiration Date:September 30,2020 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 128°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> cream chowder--counter steam table--144.00°F HW 1 --counter--100.00°F <br /> broccoli chowder--counter--163.00°F 2D Randell--counter--40.00°F <br /> RR women--102.00°F 4 Drawer prep table north/middle--counter--38.00°F <br /> RR men--101.00°F HW 2--counter--100.00°F <br /> WI--back--38.00°F HW 4--counter--100.00°F <br /> 4 Drawer prep table south/middle--counter--39.00°F reheating water bath--back--190.00°F <br /> 1 D True(dairy)--counter--41.00°F 2D Silverking--counter--41.00°F <br /> HW 3--counter--100.00°F 2D True(north)--counter--40.00°F <br /> 1 D True(dairy,non PHF)--counter--45.00°F tomato soup--counter steam table--163.00°F <br /> 2-comp prep--back--120.00°F <br /> NOTES <br /> Sanitizer bucket 200 ppm quat <br /> Notes: <br /> -Advice cleaning and sanitizing sandwich prep table (i.e.food contact surface)more frequently, such as between 1 and 1.5 <br /> hours, or as needed. <br /> -As a regulated facility for CO2 Hazardous Material Business Plan (HMBP)under Program 1919, a Routine inspection will be <br /> conducted once every 3 years. You are also required to log on to California Environmental Reporting System (CERS)website <br /> to verify/resubmit any changes between November 1 and January 15 annually. For more information on CERS, please go <br /> to http://cers.calepa.ca.gov/ <br /> OIR emailed to cafe0972@panerabread.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 rate. <br /> Received by: Name and Title: Sam phillips, supervisor <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0016620 PRO524758 SCO01 06/05/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />