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Time In: 1.00 gm <br /> Time Out: 2:00 Pm <br /> San Joaquin County <br /> . A , Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95206-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.orci/ehd <br /> Food Program Service Request Inspection Report <br /> Name of Facility: MCDONALDS Date: 10/0612016 <br /> Address: 1613 LOWER SACRAMENTO RD , LODI 95207 <br /> Requestor: BENJAMIN BARRETT-PROJECT MANAGER, VIGEN INCORPORATED Telephone: (559)268-2711 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0074191 <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 an-classified as MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodbome 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 /> OBSERVATIQNS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 135°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION --TEMP°F--C MMEIST <br /> all coolers--41.00°F walk in—34.00°F <br /> NOTES <br /> ok to issue permit once fee is paid. Return to office to pay permit fees. Program 1625 Fee$342 and program 1919 Fee$254+ <br /> $25 processing fee <br /> Make the following corrections before opening: <br /> 1.Install wall brackets next to mop sinks(2)for the storage of mops, brooms, ect. <br /> 2.Caulk area behind 3 comp sink-to-wall. <br /> 3.Post hand wash signs in rest rooms. <br /> 4.AII coolers shall be 41 F or lower(not all were turned on at time of inspection). <br /> 5.lnstall a splash guard of at least 6 inches in height for hand sink next to salad prep cooler. <br /> Correct the following by 30 days: <br /> Facility has a large CO2 tank in closet. Register at cers.calepa.ca.gov. Contact Lisa Medina if you have any questions on how <br /> to register 468-3455 <br /> Correct the following by 60130 days: <br /> Have on site food manager and food handler certificates. <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: pegy me erdi ian, supervisor <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: 209 953-7817 <br /> SR0074191 SC523 10106/2016 <br /> EHE 16-23 Rev.06/30115 Page 1 of 1 f=ood Program Service Request Inspection Report <br />