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SAN JOAQUIN Environmental Health Department <br /> IJ NIT Time In: 9.51 am <br /> ry Time Out: 10:59 am <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: SOURDOUGH &COMPANY Date: 05/07/2020 <br /> Address: 2601 REYNOLDS RANCH PKWY, LODI 95240 <br /> Requestor: ELIAS HERMOSILLO, CONCEPT& INTERIORS Telephone: <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0081244 <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: Gurdeep Bains Expiration Date: February 15,2024 <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 /> Prep Table#3 Kitchen 36.00°F One Door Arctic Air Back Room- 33.00°F <br /> Prep Table#4 Kitchen 36.00°F Two Door Arctic Air Back Room- 32.00°F <br /> Prep Table#1 --Kitchen--36.00°F Prep Table#2--Kitchen--36.00°F <br /> 3-comp Sink--Back Room--120.00°F <br /> NOTES <br /> Final inspection conducted this date. Inspection report was discussed with Gurdeep Bains and Lovedeep Singh, Signature was <br /> not captured. <br /> Post the provided sign advising patrons that a copy of the most recent inspection report is available for review. <br /> All other employees must obtain food handler cards within 30 day of the employment and maintain records at the facility. <br /> Okay to issue permit for program element 1624. E-mail the followings to sshih@sjgov.org: <br /> • A copy of completed Masterfile Record (Green) <br /> • A copy of completed Masterfile Record (Pink) <br /> • A copy of owner's driver license. <br /> • Payment confirmation of$$355. The payment can be made online at: <br /> Https://www.sjgov.org/department/envhealth/online-payment. <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: Gurdeep Bains, Owner <br /> EH Specialist: STEVEN SHIH Phone: (209)468-9850 <br /> SR0081244 SC523 05/07/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />