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SAN JOAQU I N Environmental Health Department <br /> CO LJ N T Y <br /> Time In: 9:45 am <br /> Time Out: 10:00 am <br /> Food Program Complaint Inspection Report <br /> Name of Facility: KENTUCKY FRIED CHICKEN/A&W Date: 06/15/2018 <br /> Address: 150 E LOUISE AVE, LATHROP 95330 <br /> Owner/Operator: LATHROP 219, INC Telephone: (209)858-0229 <br /> Program Element: 1600-FOOD PROGRAM Complaint#: C00046914 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> C00046914 states: "COMPLAINANT ALLEGES MOTHER-IN-LAW TOOK COMPLAINANTS 3 CHILDREN THROUGH <br /> DRIVE THROUGH AND ORDERED 3 ROOT BEER FLOATS.ALL THREE CHILDREN BECAME ILL, SYMPTOMS <br /> INCLUDED DIARRHEA,ABDOMINAL PAIN, FEVER, HEADACHE AND VOMITING. PLEASE CALL COMPLAINANT WITH <br /> FINDINGS." <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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:The exterior of the soft serve machine has soft serve mix residue around the top covers. Clean and <br /> sanitize the exterior of the soft serve machine today. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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: 120°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in cooler--36.00°F soft serve mix at machine--33.00°F <br /> NOTES <br /> Upon inspection, Manager is unaware of the complaint. Manager states that the soft serve machine is inspected quarterly by <br /> CDFA-MDFSB. Manager states that the soft serve machine is taken apart daily at 9:30pm to clean and sanitize. <br /> Root beer floats are made with root beer and soft serve ice cream. <br /> No major violations identified this date. <br /> Routine inspection of facility also conducted this date. <br /> FA0013693 C00046914 SCO04 06/15/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Complaint Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />