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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 123prn <br /> Time Out: 1:50 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: GHIRARDELLI FACTORY STORE Date: 12/02/2021 <br /> Address: 11980 S HARLAN RD, LATHROP 95330 <br /> Owner/Operator: GHIRARDELLI CHOCOLATE CO Telephone: (209)982-9304 <br /> Program Element: 1617-RETAIL MARKET> 1000 SQ FT W/FOOD PREP <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Alliannah Cuevas Expiration Date: May 10,2026 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> front of house 2 comp sink--124.00°F 3 door True freezer(#3)--21.00°F <br /> 2 door True freezer--13.00°F 2 door True freezer(#1)--11.00°F <br /> 2 drawer ice cream freezer--7.70°F restroom hand sink--100.00°F <br /> 1 door True freezer(vanilla)--27.00°F 2 door True--35.00°F <br /> 2 door reach-in--40.00°F Micromatic whipped cream dispenser--40.00°F <br /> NOTES <br /> wiping cloth buckets 200 ppm Quat/test strips available(both Quat and CI) <br /> No signature obtained <br /> Report typed up at the office 4:01 pm-4:07pm <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: discussed w/Stephanie Casillas, Mgr <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0018771 PR0528078 SCO01 12/02/2021 <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 />