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Time In: 10.44 am <br /> Time Out: 11:43 am <br /> �P.Q•��k. P San Joaquin County <br /> .X 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 /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: Date: 08/31/2016 <br /> Address: KETTLEMAN LN &LOWER SACRAMENTO-SUNWEST VILLAGE CENTER PARCEL 4, LODI 95242 <br /> Requestor: PS YOGURT INC, MENCHIES FROZEN YOGURT Telephone: (510)449-8999 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0074025 <br /> Inspection Type: 523-Plan Check/Report Review <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 the Department with a copy of a valid food manager <br /> certificate within 60 days. <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 127°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 107°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> prep--131.00°F hand sink--front counter--105.00°F <br /> walk-in--40.00°F toppings bar--41.00°F <br /> hand sink--restroom--100.00°F <br /> NOTES <br /> Plan check final <br /> Walk-in freezer to have silicone seal. Provide prior to operating. <br /> Self closure lacking at restroom door. Provide Prior to operating. <br /> Soap and paper towels are lacking at hand wash dispensers. Provide prior to operating. <br /> Soap and paper towels are lacking at hand sink at counter. Provide prior to operating. <br /> * Operator to provide proof of the above items. Ok to issue permit once received. <br /> PE !623 <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 /> V' <br /> Received by: Name and Title: Christina Siapno, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> SR0074025 SC523 08/31/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />