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�...Q .. 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 /> Facility Name and Address: EXPRESS DONUT&DELI, 123 N CHEROKEE LN, LODI 95240 <br /> #36 Equipment/Utensils/Linens: Proper Storage/Use <br /> OBSERVATIONS:Scoop inside ice maker. Store scoop/utensils separately. Corrected. <br /> CALCODE DESCRIPTION:All clean and soiled linen shall be properly stored non-food items shall be stored and displayed separate from <br /> food and food-contact surfaces. (114185.3- 114185.4) Utensils and equipment shall be handled and stored so as to be protected from <br /> contamination. (114074- 114075, 114081, 114119, 114121, 114161, 114178, 114179, 114083, 114185, 114185.2, 114185.5) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:No backflow prevention for the outsie mop sink with hose attached. Provide backflow prevention (i.e. <br /> hose bib, or anti-siphon device) in 2 wees. This is a repeat violation. <br /> CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances, shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Monica Buo Expiration Date:January 25,2019 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 134°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 1081 F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2D Display True--45.00°F Hot point refrigerator--39.00°F <br /> RR--108.00°F <br /> NOTES <br /> Sanitizer bucket not set up. <br /> Submit evidence of correction (i.e. photos, etc.)of all violations to EHD (jwong@sjcehd.com)before deadline to avoid a <br /> billable reinspection. <br /> OIR emailed o monicabuol993@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: L�� Name and Title: hally sap, owner <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0000315 PRO161739 SCO01 11/02/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />