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r: � I I I Environmental Health Department <br /> N <br /> Y U <br /> f �Z wti <br /> —COUNTY— <br /> O U N T Time In: 11 50 am <br /> Time Out: 12:25 pm <br /> c�`�� Greotr+ess �rGws here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: IN-N-OUT BURGERS Date: 09/30/2019 <br /> Address: 16514 GOLDEN VALLEY PKWY, LATHROP 95330 <br /> Requestor: IN-N-OUT BURGERS,A CALIFORNIA CORPORATION, IN-N-OUT BURGE Telephone: (626)813-8275 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0079795 <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: Sarah Benzler Expiration Date:August 01,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 115°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sinks x 8--100.00°F salad make table#2--37.00°F <br /> mop sink--118.00°F--re-check 120F walk-in cooler--41.00°F <br /> salad make table#3--40.00°F 1 door/2 drawer at drive thru--41.00°F <br /> 3 door Traulsen--41.00°F salad make table#1 --34.00°F <br /> 2 comp sinks x 2--115.00°F--re-check 120F <br /> NOTES <br /> OK to permit as a 1625 once annual permit 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: Name and Title: Mike David, Super. <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> SR0079795 SC523 09/30/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />