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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: 11-58 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: ELLIS CREAMERY LLC Date: 05/06/2021 <br /> Address: 40 DOWNTOWN MALL , LODI 95240 <br /> Requestor: MARIO J.TICSAY, ELLIS CREAMERY LLC Telephone: (209)319-8494 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0083653 <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: Mirafe Primero Expiration Date: May 17,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 103°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 comp--121.00°F hand sink--104.00°F <br /> NOTES <br /> Creamery to be added and existing hand wash sink and 3 comp to be used. <br /> Please provide the following <br /> All manufactured and custom-made food service equipment must be certified for sanitation by an American National <br /> Standards Institute(ANSI)accredited certification program. All proposed equipment is subject to EHD approval [CRFC <br /> §114130]. <br /> The floor surfaces in all food preparation or packaging areas,open food storage areas, utensil washing areas, refuse storage <br /> areas, janitorial areas, and all restroom and employee change areas, shall be smooth and of durable construction and <br /> nonabsorbent material which is easily cleaned. These floor surfaces shall be coved at the juncture at the floor and wall with a <br /> three-eighths(3/8)inch minimum radius coving and shall extend up the wall at least four(4)inches. Rubber or vinyl top set <br /> base is not permitted in these areas[CRFC§114268]. <br /> PE 1680 <br /> Please contact Environmental Health to verify the installation of the flooring.Please contact Lead Senior Vidal Pedraza at <br /> 209-616-3020 <br /> vpedraza@sjgov.org <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: MARIO J.TICSAY, owner, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> SR0083653 SC061 05/06/2021 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />