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Time In: 11-08 am <br /> Time Out: 11:30 am <br /> Pquin/ San Joaquin County <br /> a. Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., ;a• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �rFORN <br /> Food Program Official Inspection Report <br /> Name of Facility: HOLIDAY INN EXPRESS Date: 07/15/2016 <br /> Address: 1337 E KETTLEMAN LN, LODI 95240 <br /> Owner/Operator: KIM, BETH A Telephone: (209)201-0150 <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 Expiration Date: November 29,2016 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3-comp--120.00°F 1 D Milkbox--dining--35.00°F <br /> mop sink--122.00°F 3D True--41.00°F <br /> RR employee--100.00°F HW--100.00°F <br /> NOTES <br /> No violation observed. <br /> OIR emailed to mayrim martinez<ksekzik@yahoo.com> <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: Mayrim Martinez, asst mgr <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0019811 PRO530205 SCO01 07/15/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />