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SAN <br /> J O A Q U I t , Environmental Health Department <br /> Food Program Official Inspection Report <br /> Facility Name and Address: ROUND TABLE PIZZA, 15124 S HARLAN RD, LATHROP 95330 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Yadwinder S Khahira Expiration Date: May 24,2024 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 137°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in cooler--40.00°F ham--40.00°F <br /> linguica--35.00°F 1 comp prep sink--124.00°F <br /> sausage--35.00°F 1 door/2 drawer Delfield pizza prep--34.00°F <br /> potato salad-salad bar--47.00°F 2 door Perlick--34.00°F <br /> shredded cheese-salad bar--45.00°F restroom hand sink--100.00°F <br /> chicken--36.00°F cheese pizza-out of oven--195.00°F <br /> shredded cheese-pizza prep--40.00°F salad dressing-salad bar--44.00°F <br /> 2 door Delfield pizza prep--35.00°F <br /> NOTES <br /> quat&chlorine sanitizers and test strips are available <br /> 4 x 50 =200#CO2 plus 50#nitrogen on site this date/properly secured <br /> Report typed at the office 3:18p-3:31 p <br /> No signature obtained <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: discussed w/Alejandra Diaz, Mgr <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0020204 PR0534943 SCO01 01/04/2022 <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 />