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SAN <br /> 1` ` e J O 1a Q U I N Environmental Health Department <br /> C 0 U A i `l <br /> Food Program Official Inspection Report <br /> Facility Name and Address: QUIK STOP MARKET#152, 1721 S CHEROKEE LN, LODI 95240 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Observed no air gap between discharge hose and floor sink under chill out machine. Provide minimum 1 <br /> in. air gap. Corrected on site. <br /> Observed leaking from pipe under the back room hand sink. Repair leak within 1 week. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Pardeep Sandhu Expiration Date:April 29,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> dairy creamer(cold hold)--market dispenser -40.00°F walk-in--41.00°F <br /> Sausage,egg,and cheese taquito(hot hold) -market roller hand sink--market--100.00°F <br /> 152.00°F <br /> 3 comp sink--120.00°F hand sink--restroom--100.00°F <br /> mop sink--120.00°F refresh open reach-in--market--40.00°F <br /> Hot to go warmer--market--125.00°F hand sink--back room--100.00°F <br /> NOTES <br /> Routine inspection. <br /> Quat test strips available. <br /> The Fresh open reach-in cooler was being serviced during the inspection. <br /> Report discussed with manager. <br /> No signature captured. <br /> Maintain a copy of this report on site. <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: Pardeep Sandhu, Manager <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0000591 PRO162484 SCO01 11/22/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />