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S A N-J O A Q U I N Environmental Health Department <br /> C Q U N T Y Time In: 9.08 am <br /> Time Out: 9:38 am <br /> e�c,aos�t` Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: SAFEWAY#1648 Date: 10/28/2022 <br /> Address: 2449 W KETTLEMAN LN , LODI 95242 <br /> Requestor: KASEY PETERSON, CUHACI & PETERSON Telephone: (865)919-4041 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0084359 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Grab n go refrigerator- 34.00°F-- prepackaged soup grab n go cold hold--36.00°F <br /> prepackaged party platter cold hold--39.00°F Boar's Head refrigerator--39.00°F <br /> cold hold end cap--40.00°F packaged olive refrigerator--37.00°F <br /> NOTES <br /> Plan check final <br /> I observed packaged food refrigeration unit that replaced the"olive bar"(unit holds packaged olives and Boar's Head <br /> products). <br /> Air gap between discharge pipe and floor sink is not adequate.. <br /> Provide a minimum of a one inch air gap from the bottom of the liquid waste discharge pipe and the top of the floor sink. <br /> Corrected onsite. <br /> Observed refrigerator units that are at 41 F or lower. <br /> Equipment place per plan and approved for use(currently units are stocked and in use) <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 with Wesley Fieldhouse, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0022701 SR0084359 SC523 10/28/2022 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />