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Environmental Health Department <br />Facility Name and Address: 20 NORTH, 20 N SCHOOL ST, LODI 95240 <br />Food Program Official Inspection Report <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br />OVERALL INSPECTION NOTES AND COMMENTS <br />hand sink -- restroom -- 111.00º F Handsink -- 100.00º F <br />3 comp -- 120.00º F 2 door display -- 42.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Note: When dishwasher was turned on, dishwasher leaked onto the flooring. <br />Per person in charge the 3 comp sink is used. <br />Do not use the dishwasher unless the dishwasher dispenses sanitizer at a minimum of 50ppm. <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: <br />EH Specialist:Phone: <br />Jeremy, <br />STEPHANIE RAMIREZ <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0022831 PR0539919 SC001 11/16/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com