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Environmental Health Department <br />Facility Name and Address: LA POBLANA, 600 S CENTRAL AVE, LODI 95240 <br />Food Program Official Inspection Report <br /> #47 Signs Posted; Last Inspection Report Available <br />OBSERVATIONS: The SB180 was not posted and the current permit and last inspection report were not available during <br />the inspection. Provided SB180 to employee. Post SB180 in a location to customers. Maintain current permit and most <br />recent inspection report on site. <br />CALCODE DESCRIPTION: Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br />hands after using the restroom (113953.5) (b) No smoking signs shall be posted in food preparation, food storage, warewashing, and <br />utensil storage areas (113978). (c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br />such as salad bars and buffets. (d) Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br />post a sign within the food facility in a public area stating that toilet facilities are not provided (113725.1, 114381 (e)). Proper posting of <br />nutritional information at facilities with 20 or more chains in California (114094). <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 /> 110 <br /> 100 <br />needed <br />OVERALL INSPECTION NOTES AND COMMENTS <br />prep sink -- 105.00º F 1 dr True display -- behind front counter -- 41.00º F <br />3 comp sink -- 110.00º F walk-in -- 40.00º F <br />1 dr Atosa reach-in w/prep top -- kitchen -- 37.00º F hand sink -- employee restroom -- 100.00º F <br />hand sink -- customer restroom -- 100.00º F hand sink -- kitchen -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />Sanitizer bucket - 200 ppm chlorine. <br />Discussed report with Sandra Meija, Employee. <br />No signature captured. <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 />, <br />DARIA AFONSKAIA <br />Page 3 of 3EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0014812 PR0521812 SC001 03/11/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD