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Time In: 1-18pm <br /> Time Out: 1:48 pm <br /> Pquin/ San Joaquin County <br /> 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 /> �L�FORa <br /> Food Program Complaint Inspection Report <br /> Name of Facility: Costco Wholesale#1091 Date: 10/25/2016 <br /> Address: 2680 REYNOLDS RANCH PKWY, LODI 95240 <br /> Owner/Operator: COSTCO WHOLESALE CORPORATION Telephone: (209)366-7300 <br /> Program Element: 1600-FOOD PROGRAM Complaint#: C00042445 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANT ALLEGES SPOUSE BECAME ILL FROM CONSUMING ROTISSERIE CHICKEN PURCHASED FROM <br /> FACILITY. PURCHASED AT APPROXIMATELY 2:OOPM, CONSUMED AT 5:OOPM AND SYMPTOMS BEGAN AT 3:OOAM <br /> INCLUDING DIARRHEA AND VOMITING. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk in--34.00°F chicken in oven,thigh--211.00°F <br /> handwash--chicken prep room--100.00°F handwash--roasting room--115.00°F <br /> chicken in oven,breast--199.00°F Chicken on display--151.00°F <br /> NOTES <br /> Interviewed manager on duty. He stated no employee has called in sick recently, no one out of country. He confirmed that <br /> employee do eat the same rotisserie chicken during lunch hour or if they buy it to take home. He is not aware of this <br /> complaint or similar complaint. <br /> Observed the following: <br /> 1. Boxes of pre-seasoned and seal-packaged raw chicken from Foster Farm out of Livingston, CA stored in Walk In: 34 F. <br /> Chicken were received in non frozen state <br /> 2. Raw chicken placed insto skewers in chicken prep room. Chicken did not have to be washed before being skewered. <br /> Equipment and floor and sinks are sanitized with 200 ppm quat after prepping. <br /> 3. Skewers are placed into Inferno 3500 for approximately 90 min. Finished product out of the oven was measured at 199 F <br /> at the breast and 211 at the thigh. <br /> 4. Rotisserie Chicken on heat lamp display was measured at 151 F <br /> OIR emailed to Tom at w01091 mgr3@costco.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: Thomas Brown,Asst Whs Mgr <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0020431 C00042445 SCO04 10/25/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Complaint Inspection Report <br />