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Time In: 10-01 am <br /> Time Out: 11:34 am <br /> �P.Q•�tk. 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: WALMART STORES Date: 06/14/2016 <br /> Address: 1600 WESTGATE DR, LODI 95240 <br /> Requestor: HANS KAUFMANN, P& R ARCHITECH Telephone: (562)628-8000 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0070821 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Blanca A Trujillo Expiration Date: February 02,2018 <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 /> No Temperature Data Collected <br /> NOTES <br /> Plan check final <br /> Paper towels and soap area lacking at some hand wash sinks. Provide prior to operating. <br /> Floor sinks are not readily accessible at"A37"refrigeration section. Provide so that floor sinks are accessible. Provide prior to <br /> opening. <br /> Hot hold cases are not on at this time. Provide at 135F or higher when in use. <br /> Mopsink 122F <br /> Dishwasher 160F <br /> Restroom hand sinks-warm water between 100F-108F. <br /> Observed air gaps at refrigeration units. <br /> Walk-in refrigerators and refrigeration cases are 41 F or lower <br /> PE 1619 <br /> ***OK to issue permit once fee is paid. <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: 14 <br /> V Name and Title: Matthew Ward, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> SR0070821 SC523 06/14/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />