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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ <br /> COUNTY— <br /> Time <br /> OUNTY <br /> Tl <br /> E"r : <br /> ^'•ti7F Opt�� Greotness grows here. am <br /> Timee OOutut: 100:2:2 2 am <br /> Food Program Official Inspection Report <br /> Name of Facility: CHILL NUTRITION Date: 05/19/2020 <br /> Address: 480 S CHEROKEE LN, LODI 95240 <br /> Owner/Operator: MORGAN, LEILA Telephone: <br /> Program Element: 1623-RESTAURANT/BAR 1-20 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 /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:There is no air gap between the discharge pipe from ice machine and floor sink. Provide a minimum 1 <br /> inch air gap between the end of discharge pipe and the flood rim of the floor sink. Correct today. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Liela Morgan Expiration Date: December 05,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 Door Cooler Depot--Behhind Counter--35.00°F 3-Compartment Sink--Behind Counter--120.00°F <br /> Hand Sink--Behind Counter--100.00°F Hand Sink--Restroom--100.00°F <br /> NOTES <br /> Routine inspection conducted this date,the followings were noted: <br /> Sanitizer buckets are set up with 200 PPM of Quaternary Ammonium. <br /> Quaternary Ammonium test strips are available on site. <br /> This facility is for take-out only due to COVID-19. <br /> Inspection report was discussed with Michael Henderson, Lead. Signature was not captured. <br /> Inspection report will be e-mailed to chillnutritionlodi@gmail.com <br /> FA0024919 PR0543817 SCO01 05/19/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />