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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl <br /> E"r : <br /> ^'•ti7F Opt�� Greotness grows here, 1am <br /> Timee OOutut: 122:2:20 0 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: GRAND OAKS INN Date: 05/24/2019 <br /> Address: 21941 BUENA VISTA RD, CLEMENTS 95227 <br /> Owner/Operator: MEHRTEN, JOE&ANN Telephone: (209)759-3453 <br /> Program Element: 1623-RESTAURANT/BAR 1-20 SEATS <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: Ann Mehrten Expiration Date: May 25,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Kenmore residential cooler--41.00°F Amana residential cooler--40.00°F <br /> Hand sink--rest room--105.00°F <br /> NOTES <br /> Chlorine test strips are available. <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: Ann Mehrten, Owner <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0014378 PR0519236 SCO01 05/24/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />