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SKJOAQUI1►I Environmental Health Department <br /> IT•t1.. COUNTY l� <br /> {�, ' . Greatness grows here. Time In: 933 am <br /> Time Out: 9:48 am <br /> Food Program Official Inspection Report <br /> Name of Facility: JACK IN THE BOX#493 Date: 05/19/2021 <br /> Address: 419 W LODI AVE, LODI 95240 <br /> Owner/Operator: ANIL YADAV Telephone: (510)792-3393 <br /> Program Element: 1624-RESTAURANT/BAR 21-50 SEATS <br /> Inspection Type: INSPECTION/REINSPECTION (Chargeable) <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: Expiration Date: <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 /> single service creamer--41.00°F single service creamer--42.00°F <br /> sinlge service creamer--39.00°F <br /> NOTES <br /> This is a 2nd re inspection from the 5/6/2021 re inspection <br /> Temperatures of half and half single service creamers are 41 F, 39F, and 42F. <br /> Signature not captured due to COVID <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: Elisabet Robles, Person In Charge, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)616-3069 <br /> FA0001047 PRO160051 SC333 05/19/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 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 />