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II II ff I Environmental Health Department <br /> CCUNT`f <br /> Food Program Official Inspection Report <br /> Facility Name and Address: COSTCO WHOLESALE#1091, 2680 REYNOLDS RANCH PKWY, LODI 95240 <br /> #39 Thermometers Provided/Accurate/Easily Visible <br /> OBSERVATIONS:Reach in display cooler for the Basil Pesto and the Ravioli broken thermometer. Corrected on site. <br /> CALCODE DESCRIPTION:An accurate easily readable metal probe thermometer suitable for measuring temperature of food shall be <br /> available to the food handler. A thermometer+/-2#F shall be provided for each hot and cold holding unit of potentially hazardous foods <br /> and high temperature warewashing machines. (114157, 114159) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:At the 1 comp prep sink , at the Bakery Dep, lacking of pipe draining to the floor sink. Repair with <br /> keeping the 1 inch or more air gap. Corrected on site. <br /> Mop sink at the faucet neck leaking. Fix in one week. <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: Elaine Rocha Expiration Date: May 12,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 116o F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 103°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Bakery Dep--108.00°F 3 comp warewash sink--Deli Dep--127.00°F <br /> Reach in display cooler--Zone A--41.00°F 1 comp prep sink--Bakery Dep--121.00°F <br /> Hand sink--Deli Dep--111.00°F Produce cooler--40.00°F <br /> 2 comp prep sink--Meat Dep--122.00°F Dairy cooler--41.00°F <br /> Hand sink--Meat Dep--104.00°F Prep sink--food court--120.00°F <br /> 1 comp prep sink--Bakery Dep--121.00°F Reach in display cooler--baked cake--37.00°F <br /> Soaking sink--Rotisserie Dep--121.00°F 3 comp prep sink--Bakery Dep--122.00°F <br /> Reach in display cooler--Basil Pesto, Ravioli--41.00°F 3 door Kairak cooler--Food court--41.00°F <br /> Reach in display cooler raw meat--Meat Dep--38.00°F Hand sink--Meat Dep--105.00°F <br /> Sausage--3 D cooler reach in Food court--39.00°F Shredded cheese--3 D cooler reach in Food court--39.00°F <br /> Walk in cooler--Deli Dep--35.00°F Hand sink--Deli Dep--79.00°F <br /> Hand sink--Rotisserie Dep--104.00°F Reach in display cooler--salad platter,Roller platter--37.00°F <br /> Pizza--Hot Hold Food court--162.00°F Reach in display cooler--Zone B--40.00°F <br /> Reach in display cooler--Zone D--41.00°F Reach in display cooler Beef--Zone C--41.00°F <br /> 1 comp prep sink--Rotisserie Dep--121.00°F Mop sink--Food court--118.00°F <br /> Hand sink--Bakery Dep--123.00°F 3 comp sink--Meat Dep--123.00°F <br /> Walk in--Bakery Dep--39.00°F 2 comp prep sink--Deli Dep--126.00°F <br /> Reach in display cooler--Sausage,Cheese--41.00°F walk in cooler--Food court--37.00°F <br /> Multiple door walk in cooler--Juice,Cheese,Creamer--36.00°F <br /> FA0020431 PR0536360 SCO01 01/11/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />