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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0542429
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/6/2021 8:31:53 AM
Creation date
5/27/2021 8:37:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0542429
PE
1618
FACILITY_ID
FA0024382
FACILITY_NAME
GROCERY OUTLET OF LODI
STREET_NUMBER
520
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04745042
CURRENT_STATUS
01
SITE_LOCATION
520 S CHEROKEE LN STE #102
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl : 135 pm <br /> ^'•ti7F Opt�� Greotness grows here. <br /> Timee OOutut: 2:05 am <br /> Food Program Official Inspection Report <br /> Name of Facility: GROCERY OUTLET OF LODI Date: 05/26/2021 <br /> Address: 520 S CHEROKEE LN, LODI 95240 <br /> Owner/Operator: TRIMLETT, KEVIN Telephone: <br /> Program Element: 1618-RETAIL MKT>2000 SQ FT (PREPKGD/LTD 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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> chicken display--37.00°F meat walk in--37.00°F <br /> dairy walk in--36--36.00°F sausage display--41.00°F <br /> open air display--near entrance--40.00°F salad display--35.00°F <br /> NOTES <br /> no signature due to covid 19 <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: <br /> EH Specialist: NICHOLAS WIESEMAN Phone: <br /> FA0024382 PR0542429 SCO01 05/26/2021 <br /> EHD 16-23 Rev.06/30/15 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.sjcehd.com <br />
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