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Time In: 11:05 am <br />Time Out: 11:37 am <br />Op4i�!N, San Joaquin County <br />Environmental Health Department <br />_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />4C/FORa <br />Food Program Official Inspection Report <br />Name of Facility: HOLIDAY INN EXPRESS <br />Date: 10/14/2015 <br />Address: 1337 E KETTLEMAN LN, LODI 95240 <br />Owner/Operator: KIM, BETH A <br />Telephone: <br />Program Element: 1624 - RESTAURANT/BAR 21-50 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: Beth Kim <br />Warewash Chlorine (Cl): ppm Heat: ° F <br />Quaternary Ammonia (QA): 200 ppm <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />hand wash -- 100.00° F <br />3D True -- 31.00° F <br />mop sink -- 121.00° F <br />NOTES <br />No violations noted. <br />A copy of this report is being sent by email to Mayrim Martinez <br />Expiration Date: November 29, 2016 <br />Water/Hot Water Ware Sink Temp: 123 ° F <br />Hand Sink Temp: 100 ° F <br />3 -comp -- 123.00° F <br />Counter refrigerator (hard boiled eggs, dairy) -- 40.00° F <br />staff RR -- 103.00° F <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: <br />EH Specialist: JEFFREY WONG <br />Name and Title: mayrim martinez, assistant general n <br />Phone: (209) 468-0335 <br />FA0019811 PR0530205 SCO01 10/14/2015 <br />EHD 16-23 Rev. 06/30/15 Page 1 of 1 Food Program OIR <br />