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SAN J U A Q U I N Environmental Health Department <br /> COUNTY <br /> G7reotness grows here, Time In: 10:50 am <br /> Time Out: 11:20 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SHANGRI LA ASIAN BISTRO Date: 12/14/2021 <br /> Address: 203S SCHOOL ST, LODI 95240 <br /> Owner/Operator: VAN, PAUL C Telephone: (916)548-6888 <br /> Program Element: 1626-RESTAURANT/BAR 101 +SEATS <br /> Inspection Type: INSPECTION/REINSPECTION (Chargeable) <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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Observed debris on small cooking hood. Clean. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Sushi Display Right Side--41.00°F 4 door cold drawer across from equipment--41.00°F <br /> 4 door cold drawers--41.00°F 3 door reach in(new)--35.00°F <br /> NOTES <br /> Per owner hand sink to the right of the three compartment sink has not been in use since owner took over several years ago. <br /> Operator to remove soap and towel dispenser installed at three compartment sink and provide pictures. <br /> Operator to add soap dispenser holders at bar hand sinks and paper towel holder at middle hand sink at bar. Provide pictures. <br /> Owner has taken food manager exam and will provide certificate in the next 3-4 weeks. <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: Benny Chen, Owner <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0000660 PRO160205 SC333 12/14/2021 <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 />