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Time In: 2.17 prn <br /> Time Out: 2:54 pm <br /> �.... .. 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: MOUNTAIN MIKE'S PIZZA Date: 09/28/2016 <br /> Address: 728 W KETTLEMAN LN , LODI 95242 <br /> Requestor: PARMINDER SINGH, MOUNTAIN MIKE'S PIZZA Telephone: (510)329-4806 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0075095 <br /> Inspection Type: 061 -CONSULTATION <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 /> OBSERVATIONS <br /> Name on Food Safety Certificate: Parminder Singh Expiration Date: May 17,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in--40.00°F hand sink--next to prep sink--122.00°F <br /> front hand sink--101.00°F restrroom and sink--101.00°F <br /> prep sink--122.00°F salad bar--35.00°F <br /> NOTES <br /> PE 1625 <br /> **Ok to issue permit once fee is paid. Operator to return to 1868 E Hazelton and pay fee. <br /> Follow up <br /> Observed sump cover that has flat bolt. Owner to place the remaining bolts on cover today.Also hole in lid to be <br /> covered/plugged with a smooth cleanable nonabsorbent material. Per operator sump is not being utilized and he is not sure of <br /> what purpose it serves. <br /> Observed liquid waste tubing from beer dispenser that extends into floor sink. Provide so that there is an air gap today. <br /> Please add an hour for today's inspection. <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: parminder Singh, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0007873 SR0075095 SC061 09/28/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />