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SAN ]OAQ U I N Environmental Health Department COUNTY- �c,F❑�t' Greotness grows hers. Food Program Service Request Inspection Report Facility Name and Address: Food Maxx#447, 610 W Kettleman LN , LODI 95240 OBSERVATIONS Name on Food Safety Certificate: needed Expiration Date: Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F Quaternary Ammonia(QA): 120 ppm Hand Sink Temp: 100°F FOOD ITEM--LOCATION--TEMP°F--COMMENTS produce walk-in--41.00°F rotissierie chicken(hot hold)--display warmer--149.00°F meat bunker--40.00°F back dairy walk-in--40.00°F bakery 3 comp sink--120.00°F 4 D Federal bakery--36.00°F bakery/meat walk-in--41.00°F 2 comp sink produce--120.00°F mop sink--warehouse--121.00°F meat department 3 comp sink--124.00°F front dairy walk-in--41.00°F nonadjustable hand sink--public restroom(R)--64.00°F meat wall--36.00°F hand sinks--employee M&W restrooms--100.00°F hand sink--rotisserie chicken oven--100.00°F salad/fruit wall--market--41.00°F hand sink--bakery/meat department--100.00°F NOTES Change of Ownership inspection. Quat test strips available. The left public restroom was occupied during the inspection. The 2 comp sink at produce is also used as a hand sink. Discussed report with Dawin Veng,Assistant Store Manager. No signature captured. Ok to issue permit once fee is paid and 5021 form is received. PE 1619,fee$500 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 Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. Received by: Name and Title: EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 FA0000449 SR0086285 SC061 02/16/2023 EHD 16-23 Rev.07/05/2022 Page 3 of 3 Food Program Service Request Inspection Report