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Program Element: 1601 - FOOD PLAN CHECK <br />Telephone: Requestor: SAME <br />Inspection Type: 523 - Plan Check/Report Review <br />Address: 1306 LAKEWOOD MALL , LODI 95242 <br />Date: 11/03/2022Name of Facility: DELICIOUS BOARDS, LLC <br />Food Program Service Request Inspection Report <br /> 1:00 pm <br />12:32 pm <br />Time Out: <br />Time In: <br />Request #: SR0085617 <br />Environmental Health Department <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 />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 />Carmen Gutierrez June 13, 2027 <br />hand sink -- shared restroom Women's -- 119.00º F 2 door upright Avantco -- 41.00º F <br />hand sink -- 103.00º F 3 comp -- 136.00º F <br />hand sink -- shared restroom Men's -- 121.00º F 3 door reach-in -- under prep table -- 40.00º F <br />mop sink -- 141.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />PE 1613 <br />Plan check final <br />Ok to issue 2023 permit once fee is paid <br />Observed discharge pipe that extends into the floor sink at 3 compartment sink. <br />Provide a minimum of a 1" air gap between the top of the floor sink and the bottom of the discharge pipe. <br />Corrected on site. <br />Observed water heater simulateously wired together for a total of 8000 watts <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: <br />Carmen Gutierrez, <br />STEPHANIE RAMIREZ <br />Page 1 of 1EHD 16-23 Rev. 06/30/15 Food Program Service Request Inspection Report <br />FA0022640 SR0085617 SC523 11/03/2022