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Food Program Service Request Inspection Report Facility Name and Address: THE HIDDEN TEA ROOM, 310 N CALIFORNIA ST , LODI 95240 Environmental Health Department #43 Toilet Facilites Clean/ Supplied/ Maintained OBSERVATIONS: The employee restroom did not have a toilet paper dispenser. Provide toilet paper dispenser within 1 week. The toilet paper dispenser in the men's and women's restrooms were empty. Provide toilet paper in dispensers. CALCODE DESCRIPTION: Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons: in establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) #45 Floors, Walls, Ceilings; Clean and Maintained OBSERVATIONS: Observed hole in wall behind mop sink in back room. Repair wall and provide smooth, cleanable surface within 1 month. CALCODE DESCRIPTION: The walls / ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143 (d), 114266, 114268, 114268.1, 114271, 114272) #47 Signs Posted; Last Inspection Report Available OBSERVATIONS: The men's and women's restrooms did not have hand wash signs posted. Provided hand wash stickers to operator. Post hand wash signs in restrooms. CALCODE DESCRIPTION: Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash hands after using the restroom (113953.5) (b) No smoking signs shall be posted in food preparation, food storage, warewashing, and utensil storage areas (113978). (c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas such as salad bars and buffets. (d) Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently post a sign within the food facility in a public area stating that toilet facilities are not provided (113725.1, 114381 (e)). Proper posting of nutritional information at facilities with 20 or more chains in California (114094). OVERALL INSPECTION NOTES AND COMMENTS Chlorine (Cl): Name on Food Safety Certificate:Expiration Date: ppmQuaternary Ammonia (QA): Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F Hand Sink Temp:º F OBSERVATIONS 50 120 100 Lisa Kuffel March 08, 2026 3 comp sink (L) -- front counter -- 125.00º F 2 D Display -- front coutner -- 40.00º F 3 comp sink (R) -- front counter -- 124.00º F 1 D Atosa reach-in w/prep top -- prep room -- 40.00º F hand sink -- women's restroom -- 100.00º F dishwasher sink -- prep room -- 120.00º F mop sink -- back room -- 120.00º F hand sink -- near dishwasher -- 111.00º F hand sink -- men's restroom -- 100.00º F hand sink -- employee restroom -- 100.00º F Maytag residential refrigerator -- side storage room -- 36.00º F FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS Page 2 of 3EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report FA0000936 SR0086158 SC061 12/21/2022