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Time In: 11:40 am <br /> Time Out: 12:14 pm <br /> �P"O.WN' P San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �•.• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: VINTAGE SPORTS GRILL Date: 10/24/2016 <br /> Address: 117 N SACRAMENTO ST, LODI 95240-2129 <br /> Requestor: SIGRID DENHARDT,VINTAGE SPORTS GRILL Telephone: (209)740-7117 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0076045 <br /> Inspection Type: 061 -CONSULTATION <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:Mop sink hot water is at 117F. Provide hot water at this sink at a minimum of 120F. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 135°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 135°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--Men's--109.00°F mop sink--117.00°F <br /> hand sink--Women's--100.00°F mop--117.00°F <br /> 3 comp--bar--135.00°F hand sink--bar--135.00°F <br /> NOTES <br /> dishwasher 50ppm <br /> Consultation. Change of ownership. <br /> Water hater located in the attic per previous operator. <br /> *'PE 1621 <br /> Ok to issue permit once fee is paid. Operator to return to 1868 E Hazelton and pay fee. <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 /> J' <br /> Received by: Name and Title: sigrid denhardt <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0021306 SR0076045 SC061 10/24/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />