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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0163431
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
6/9/2022 8:45:13 AM
Creation date
5/12/2022 7:57:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0163431
PE
1615
FACILITY_ID
FA0004131
FACILITY_NAME
BLACK DIAMOND SMOKE SHOP
STREET_NUMBER
115
Direction
E
STREET_NAME
PINE
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04307121
CURRENT_STATUS
01
SITE_LOCATION
115 E PINE ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> .r{ � 7fa�p[r+85S growshere. Time In: 12.06 pm <br /> Time Out: 12:30 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: BLACK DIAMOND SMOKE SHOP Date: 06/07/2022 <br /> Address: 115 E PINE ST, LODI 95240 <br /> Owner/Operator: KHAN, SARFARAZ Telephone: (209)507-5272 <br /> Program Element: 1615-RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP) <br /> Inspection Type: INSPECTION/REINSPECTION (Chargeable) <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:The paper towel dispenser in the restroom was empty, a paper towel roll was on top of the dispenser. <br /> Provide paper towels in dispenser today. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(0) <br /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The water at the mop sink was 108 F at the beginning but it dropped down to 86 F after a few minutes. <br /> Per owner they were using the hot water at the mop sink earlier and likely used up all the hot water.The water was at 92 F <br /> at the end of the inspection. Provide hot and cold water with hot water at 120 F minimum today. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed damaged flooring around mop sink. Repair/replace damaged flooring within 1 month. <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FA0004131 PRO163431 SC333 06/07/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Food Program OR <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 />
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