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_.r ! Environmental Health Department <br /> SAN��OAQUIN <br /> 1_1 r-1 -COUNTY Time In: 8:20 am <br /> Time Out: 9:00 am <br /> Greatness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: TARGET T0853 Date: 02/09/2023 <br /> Address: 2355 W KETTLEMAN LN , LODI 95242 <br /> Requestor: SAMANTHA OLENDORFF, PERMIT PLACE Telephone: (415)663-2112 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0084658 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> OBSERVATIONS <br /> Name on Food Safety Certificate: Melissa Gaston Expiration Date:January 28,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> front hand sink--behind front counter--100.00°F 3 compartment sink--120.00°F <br /> Refigerator--seating area--40.00°F <br /> NOTES <br /> Pre-plan check final,the following items need to be addressed: <br /> High temp dishwasher is to provide a temperature of 160F at the plate level <br /> Hand wash sink next to the 3 compartment sink shall have warm and cold water with warm water at a minimum of 100F. <br /> The four under counter reach-in refrigerators(behind front counter), sandwich refrigerator and the upright 2 door Bev Air <br /> refrigerator shall have a temperature of 41 F or lower. <br /> Seal/cap off the unused ICEE chase line above the 2 door upright bev Air refrigerator. <br /> Provide soap and paper towels at hand wash sinks. <br /> Please contact Lead Senior,Vidal Pedraza for final inspection at 209-616-3020 <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: Shelly Muniain, Project Engineer, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)616-3069 <br /> SR0084658 SC523 02/09/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 1 Food Program Service Request Inspection Report <br />