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SANOAQU I N Environmental Health Department <br /> COUNT -( IY <br /> Crearrie3S grows here, Time In: 10:55 am <br /> Time Out: 11:25 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LOLLICUP COFFEE&TEA A&A Date: 10/31/2017 <br /> Address: 1633 E HAMMER LN, STOCKTON 95210 <br /> Owner/Operator: HO,AMMIE 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 /> #40 Proper Use and Storage of Wiping Cloths <br /> OBSERVATIONS:Wipe cloth on prep table. Store in 100 ppm chlorine. Corrected on site. This is a repeat. <br /> CALCODE DESCRIPTION:Wiping cloths used to wipe service counters,scales or other surfaces that may come into contact with food <br /> shall be used only once unless kept in clean water with sanitizer. (114135, 114185.1 114185.3(d-e)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Ammie He Expiration Date:June 20,2022 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Coldtech(air)--41.00°F 3D display True(air)--38.00°F <br /> HW 2--100.00°F RR men--100.00°F <br /> 3D True prep(air)--40.00°F 1-comp prep--120.00°F <br /> RR women--100.00°F <br /> NOTES <br /> Note: <br /> Hose is attacked to a quick connect device at the 3-comp sink, and is detected immediately after use each time according to <br /> operator. If hose is not disconnected after use to provide the air-gap for backflow prevention,then provide backflow <br /> prevention such as a hose bib or anti-siphon device to protect contamination to potable water line. <br /> OIR emailed to kenphan01@yahoo.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: Ammie Ho, owner <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0018553 PR0527403 SCO01 10/31/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />