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Food Program Service Request Inspection Report <br />Facility Name and Address: CLUB DEMONSTRATION SERVICES INC, 2680 REYNOLDS RANCH PKWY , LODI <br />Environmental Health Department <br />OVERALL INSPECTION NOTES AND COMMENTS <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 /> 200 <br /> 118 <br /> 106 <br />Jennifer Neverkorec October 22, 2026 <br />hand sink -- CDS office -- 100.00º F nonadjustable hand sink -- all gender restroom -- 109.00º F <br />3 comp sink -- CDS office -- 118.00º F nonadjustable hand sink -- female restroom -- 112.00º F <br />hand sink -- back employee restroom -- 100.00º F nonadjustable hand sink -- male restroom -- 112.00º F <br />beef hot link -- demo -- 140.00º F cheese and green chile tamale -- demo -- 157.00º F <br />I can't believe it's not butter -- demo -- 46.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Consultation inspection. <br />CDS office is located across from public female restroom. <br />CDS will use 3 comp sink in CDS office for warewashing of all equipment/utensils. <br />Quat test strips available. <br />Demo stations are reheating food only. <br />Potentially hazardous foods are kept in ice chests at each station with a thermometer inside. <br />Will have between 5-10 demo stations inside facility. <br />Demo stations operate 10:50 AM-7:10 PM. <br />Demo stations keep temp logs for food items. <br />Employees undergo Costco Food Safety I training. <br />Discussed report with Jennifer Neverkorec. <br />No signature captured. <br />Okay to permit once permit fee is paid and pink and green forms are submitted. <br />PE 1613, fee $350 <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:(209) 616-3035 <br />Jennifer Neverkorec, Manager <br />DARIA AFONSKAIA <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br /> SR0084515 SC061 12/16/2021