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Time In: 10:00 am <br />Time Out: 10:11 am <br />Q�,Qutt�. San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />q�/ F b Rai <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Food Program Official Inspection Report <br />Name of Facility: SHANGRI LA ASIAN BISTRO <br />Date: 01/21/2016 <br />Address: 203 S SCHOOL ST, LODI 95240 <br />Owner/Operator: VAN, PAUL C <br />Telephone: (916) 548-6888 <br />Program Element: 1626 - RESTAURANT/BAR 101 + SEATS <br />Inspection Type: REINSPECTION (Actual Time) <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 />#1 Demonstration of Knowledge <br />OBSERVATIONS: Food manager certificate is lacking. Provide. <br />CALCODE DESCRIPTION: All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br />assigned duties. (113947) Food facilities that prepare, handle or serve non -prepackaged potentially hazardous food, shall have an <br />employee who has passed an approved food safety certification examination. (113947-113947.1) Any food handler hired after June 1 <br />2011 shall obtain a Food Handler Card within 30 days (113948). <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: <br />Warewash Chlorine (Cl): <br />Quaternary Ammonia (QA) <br />ppm <br />ppm <br />Heat: <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />2 door under prep -- 40.00° F <br />NOTES <br />No comment entered. <br />Expiration Date: <br />° F Water/Hot Water <br />walk-in — 41.00° F <br />Ware Sink Temp: ° F <br />Hand Sink Temp: ° F <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: <br />EH Specialist: STEPHANIE RAMIREZ <br />Phone: (209) 468-9851 <br />FA0000660 PRO160205 SC335 01/21/2016 <br />EHD 16-23 Rev. 06/30/15 Page 1 of 1 Food Program OIR <br />