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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: Costco Wholesale#1091,2680 REYNOLDS RANCH PKWY, LODI 95240 <br /> #40 Proper Use and Storage of Wiping Cloths <br /> OBSERVATIONS:Two wipe cloths in Deli Prepare Department and one wipe cloth in Rotisserie Dept not in sanitizer <br /> bucket. Store wipe cloths in sanitizer bucket. Corrected on site. <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 sanitizes (114135, 114185.1 114185.3(d-e)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Thomas Brown Expiration Date: May 12,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3-comp--Rotisserie Dept--120.00°F WI cooler--food Court--40.00°F <br /> 3D cooler bottom section--food Court--50.00°F 2D cooler under hot dog bath--food Court--40.00°F <br /> 3-comp--Deli Prep--120.00°F shredded Swiss cheese in 3D cooler reach in--food Court-- <br /> 49.00°F <br /> shredded cheddar cheese in 3D cooler reach in--food Court-- pepperoni in 3D cooler reach in--food Court--50.00°F <br /> 50.00°F <br /> Sandwiches in heat hold display(bottom layer)--food Court-- RR wmen(premixed)--100.00°F <br /> 135.00°F <br /> RR men(premixed)--100.00°F Dairy WI cooler--43.00°F <br /> 3-comp--Bakery Dept--120.00°F Zone A--floor aisle--41.00°F <br /> HW--Deli prep--100.00°F Big WI cooler--40.00°F <br /> HW -Meat Dept--100.00°F Pork in APW heat hot--food Court--174.00°F <br /> Zone D--floor aisle--35.00°F sausage in 3D cooler reach in(recently frozen)--food Court-- <br /> 33.00°F <br /> Rotisserie chicken--Rotisserie Dept 140.00°F pizza in heat hold display(upper layer)--food Court--178.00°F <br /> coleslaw--food Court--40.00°F hot dog franks in bath--food Court--170.00°F <br /> 3-comp--food Court--120.00°F Cooked chicken--Chill Blaster at Deli Prep Room--61.00°F <br /> HW -Bakery Dept--100.00°F 3-comp--Meat Dept--120.00°F <br /> HW -Demo Dept--100.00°F HW--Rotisserie Dept--100.00°F <br /> 3-comp--Demo Dept--120.00°F Produce WI cooler--40.00°F <br /> Zone C--floor aisle--40.00°F <br /> NOTES <br /> FA0020431 PRO536360 SCO01 09/28/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program OIR <br />