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° r I Environmental Health Department <br /> SAN-6-JOAQU <br /> CaLJT <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CUT THE MUSTARD LLC, 1371 E PINE ST, LODI 95240 <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:The customer restroom door was not fully self-closing. Provide fully self-closing door within 1 week. <br /> CALCODE DESCRIPTION: Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed plywood on wall behind soda syrup shelf. Paint wood and provide cleanable surface. Correct <br /> within 1 week. <br /> Observed 2 missing ceiling panels over the ice machine. Provide ceiling panels within 2 week. <br /> Observed holes in kitchen floor left over from old equipment. Seal holes within 3 weeks. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 dr Turbo Air reach-in w/prep top 38.00°F CO2--140.000 L--2x 201b,2x 50 Ib. <br /> chili(hot hold)--counter warmer--142.00°F hand sink--storage room--100.00°F <br /> au jus(hot hold)--counter warmer--153.00°F hand sink--customer restroom--100.00°F <br /> 2 dr Spartan reach-in w/prep top 37.00°F 3 dr True reach-in w/prep top--38.00°F <br /> prep sink 120.00°F walk-in w/display doors--37.00°F <br /> hand sink- employee restroom- 100.00°F <br /> NOTES <br /> Change of Ownership inspection. <br /> Provided SB180. Post in a location visible to customers today. <br /> Observed 140 Ib total CO2 cylinders, per Ben the the two 50 Ib and one 20 Ib CO2 cylinders near the back door were empty. <br /> Remove empty cylinders from facility, if more than 137 lbs of CO2 will be kept onsite then obtain Hazardous Material Business <br /> Plan permit from EHD for CO2. <br /> Discussed report with Ben Holcomb. <br /> No signature captured. <br /> Okay to issue permit once permit fee is paid and 5021 form is updated. <br /> FA0012518 SR0085187 SC061 04/28/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 4 Food Program Service Request Inspection Report <br />