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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: 10-54 am <br /> Time Out: 12:30 pm <br /> e�c,aos�t` Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: SUNSET SWEETS ICE CREAM SHACK Date: 04/28/2021 <br /> Address: 14900 W HWY 12 , LODI 95242 <br /> Requestor: FRUTO CHAMORRO, NORTHGATE RESORTS&JELLY STONE PARK Telephone: (305)202-0675 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0083624 <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: Fruto Chamorro Expiration Date: May 23,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 119°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Avantco 40.00°F 3 comp--120.00°F <br /> Women's restroom--hand sink--103.00°F Atosa--33.00°F <br /> Men's restroom--hand sink--108.00°F hand sink--119.00°F <br /> NOTES <br /> PE 1633 <br /> Ok to issue permit <br /> Operator to sell small pastries, shaved ice and all prepackaged snacks <br /> No hot food <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: Fruto Chammoro, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0006879 SR0083624 SC061 04/28/2021 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />