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Time In: 2:00 PM <br /> Time Out: 2:45 pm <br /> o�autN San Joaquin County <br /> H Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> 4�IFaa�' <br /> Food Program Official Inspection Report <br /> Name of Facility: LOLLICUP COFFEE &TEAA&A Date: 11/13/2015 <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS:sanitizer bucket 10 ppm chlorine. Provide 100 ppm but not more than 200 ppm chlorine. Corrected. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized.(113984(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 /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:One live 2mm cockroach in sink. Provide more pest control as needed and eliminate any access and <br /> attractive elements. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats, mice), cockroaches, flies.( 114259.1, 114259.4, <br /> 114259.5) <br /> #27 Food Protected from Contamination <br /> OBSERVATIONS: No lid on container of boba (tapicoca pearls). Provide cover to prevent contamination. <br /> CALCODE DESCRIPTION:All food shall be separated and protected from contamination. (113984(a, b, c, d, f), 113986, 114060, <br /> 114067(a, d, e,j), 114069(a, b), 114077, 114089.1 (c), 114143(c)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Ammie Ho Expiration Date:August 26,2017 <br /> Warewash Chlorine(% 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 101 OF <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> RR Men-- 100.00°F 3D True Display--41.00°F <br /> 2D Coldtech--41.00°F 3D True--40.00°F <br /> RR Women-- 100.00°F kitchen handwash-- 100.00°F <br /> Prep sink-- 120.00°F Mop sink-- 120.00° F <br /> FA0018553 PR0527403 SCO01 11/13/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />