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S A N-J O A Q U I N Environmental Health Department <br /> C Q U N T Y Time In: 9.03 am <br /> Time Out: 9:30 am <br /> e�c,aos�t` Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: MR PICKLES Date: 08/19/2021 <br /> Address: 514 W KETTLEMAN LN , LODI 95242 <br /> Requestor: SARIM YAUN, SPML LLC Telephone: (408)250-4785 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0084097 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Sarim Yaun Expiration Date:October 04,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door reach-in--under prep/behind front counter(R)--36.00°F walk-in--41.00°F <br /> hand sink--restroom--100.00°F 3 door reach-in--under prep/behind front counter(L)--40.00°F <br /> hand wash sink--kitchen--105.00°F mop sink--126.00°F <br /> prep sink--120.00°F one door display--near asoda fountain machine--41.00°F <br /> 3 comp--123.00°F hand sink--behingd front counter--110.00°F <br /> 2 door reach-in--under prep next to microwave--37.00°F <br /> NOTES <br /> PE 1624 <br /> Ok to issue permit once fee is paid <br /> Operator to return to 1868 E Hazelton Ave. 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 /> Received by: Name and Title: Sarim Yaun, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0006884 SR0084097 SC061 08/19/2021 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />