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Environmental Health Department <br />Time In: <br />12:00 pm <br />11:30 am <br />Time Out: <br />Program Element: 1615 - RETAIL MKT 301-2000 SQ FT (PREPKGD/LTD PREP) <br />Telephone: Owner/Operator: CANTEEN @ COSTCO #1091 BREAKROOM <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 2680 REYNOLDS RANCH PKWY, LODI 95240 <br />Date: 08/25/2022Name of Facility: CANTEEN @COSTCO #1091 BREAKROOM <br />Food Program Official Inspection Report <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 /> #7 Hot and Cold Holding Temperatures <br />OBSERVATIONS: The 1 dr Nourish Imbera display was 43 F. Provide 41 F or below today. <br />CALCODE DESCRIPTION: Potentially hazardous foods shall be held at or below 41/ 45°F or at or above 135°F. (113996, 113998, <br />114037, 114343(a)) <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 /> 100 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />1 dr Hydrate Imbera display (R) -- upstairs breakroom -- 40.00º F 1 dr Nourish Imbera display -- upstairs breakroom -- 43.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. <br />Prepackaged food items only. <br />Canteen services facility weekly. <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 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0025787 PR0545402 SC001 08/25/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD