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SA :J O Q V I + �Ips' Environmental Health Department <br /> COUNT <br /> Food Program Official Inspection Report <br /> Facility Name and Address: TAHOE'S PIZZA, 1205 PLAZA AVE, ESCALON 95320 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Required Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 102°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk in cooler--41.00°F Hand sink--Rest room--101.00°F <br /> Right side 2 D reach in cooler/under prep table/Non PHF--Pizza Left side 2 D reach in cooler/under prep table--Pizza prep line - <br /> prep line--52.00°F--Only pickles and non potentially hazardous 35.00°F <br /> food is held on this unit. <br /> Prep sink--120.00°F Mop sink--122.00°F <br /> NOTES <br /> First routine inspection after the change of ownership. <br /> QUAT strips on site. <br /> Sanitizer bucket set with QUAT 200 ppm. <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: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0017640 PR0526072 SCO01 08/08/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <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 />