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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 2:15prn <br /> Time Out: 3:05 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: ROUND TABLE PIZZA Date: 12/28/2020 <br /> Address: 15124 S HARLAN RD, LATHROP 95330 <br /> Owner/Operator: RTP 1040 INC Telephone: (209)707-3567 <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:Food Handler Cards for employees working this ate are not available. Ensure all employees have the 3 <br /> year Food Handler Card. Maintain copies on site and accessible. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:The hood, hood filters, and pizza oven have build-up. De-grease, clean and sanitize the hood, hood <br /> filters, and the pizza oven by 2 weeks. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Yadwinder S Khahira Expiration Date: May 24,2024 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> linguica--37.00°F salami--40.00°F <br /> 2 door Delfield prep--37.00°F 1 door/2 drawer Delfield prep--37.00°F <br /> bone-in wings-out of oven--197.00°F chicken--39.00°F <br /> cheese pizza--182.00°F ham--40.00°F <br /> boneless wings--37.00°F pizza-out of oven--203.00°F <br /> 1 door Delfield--38.00°F walk-in cooler--41.00°F <br /> shredded cheese--40.00°F 2 door Perlick--35.00°F <br /> FA0020204 PR0534943 SCO01 12/28/2020 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />