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SAN J O A Q U I N Environmental Health Department <br /> Time In: 1-00 om <br /> Time Out: 2:00 om <br /> Food Program Service Request Inspection Report <br /> Name of Facility: IN - N-OUT Date: 08/18/2021 <br /> Address: 5202 PACIFIC AVE, STOCKTON 95207 <br /> Requestor: CASSIE YEE, IN - N-OUT Telephone: (626) 813-8226 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0082932 <br /> Inspection Type: 523 - Plan Check/Report Review <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 rause foodbome illness.All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #1 Demonstration of Knowledge <br /> OBSERVATIONS: Provide by 60 days food manager certificate and by 30 days food handler cards <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare, handle or serve non-prepackaged potentially hazardous food, shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlodne(CQ: ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 102°F <br /> FOOD ITEM --LOCATION --TEMP° F--COMMENTS <br /> walk in--37.00°F 3 door traulsen—41.00° F <br /> prep cooler--center--41.00°F 2 drawer 1 door cooler--41.00°F <br /> prep cooler--left--41.00° F prep cooler--right--41.00°F <br /> TE <br /> There are currently over[300 Lbs ]of carbon dioxide (CO2) cylinders at the facility. Please be aware that CO2 is an <br /> asphyxiant and is therefore considered a hazardous material subject to regulation under Chapter 6.95, Health and Safety <br /> Code, Division 20, The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin County (SJC). You will <br /> be placed into the SJC Environmental Health Program for Hazardous Material Business Plan (HMBP) and will be required to <br /> report your hazardous materials in the California Environmental Reporting System(CERS). For more information or to comply <br /> with the reporting requirement in CERS, please go to: http://cers.calepa.ca.gov/ <br /> All work is up to code <br /> Ok to issue permit once fee is paid <br /> Program 1625 Fee $376 <br /> .Equipment: 2 Bradford 199,900 BTU water heaters, 4 rest room sinks, onion prep sink, potato prep sink, 3 comp sink, mop <br /> sink,4 hand sinks <br /> FA0002847 SR0082932 SC523 08/18/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Food Program Service Request Inspection Report <br />