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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: 11-54 am <br /> Time Out: 12:40 pm <br /> e�c,aos�t` Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: SWIRUD ICE CREAM Date: 10/07/2021 <br /> Address: 2414 W KETTLEMAN LN , LODI 95242 <br /> Requestor: Telephone: <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0084309 <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: John Christensen Expiration Date: March 17,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> upright True refrigerator in storage room--41.00°F hand sink restroom--104.00°F <br /> Artic Air cold counter rail refrigerator--41.00°F 3 comp sink--120.00°F <br /> hand sink front counter--108.00°F mop sink--120.00°F <br /> NOTES <br /> PE 1625 <br /> Ok to issue permit once fee is paid. <br /> Note: Food warmers are not turned on at this time. <br /> Provide warmers at 135F if storing potentially hazardous food. <br /> Under counter reach-in refrigerator plugged in during inspection and is at 58F. <br /> Provide at 41 F or lower if storing potentially hazardous foods in this unit. <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: John Christensen, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0023364 SR0084309 SC061 10/07/2021 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />