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Environmental Health Department <br />Facility Name and Address: DUTCH BROS COFFEE, 15135 OLD HARLAN RD, LATHROP 95330 <br />Food Program Official Inspection Report <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 /> 200 <br /> 121 <br /> 100 <br />needed <br />OVERALL INSPECTION NOTES AND COMMENTS <br />freeze mix -- 34.00º F front of house hand sink -- 100.00º F <br />1 door Bev Air -- 37.00º F back of house hand sink -- 100.00º F <br />mop sink -- 122.00º F frost mix -- 38.00º F <br />walk-in cooler -- 40.00º F 3 comp sink -- 121.00º F <br />restroom hand sink -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />wiping cloth bucket 100 ppm Cl / Cl test strips are available (need Quat for Sani-Tabs) <br />The hot water at the han sinks in the restroom and the front of the house take a while to reach 100F. Ensure employees are <br />waiting for the warm water for proper hand washing. <br />No signature obtained <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:(209) 616-3025 <br />discussed w/ Viktoria Groen, Asst Mg <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0027027 PR0547525 SC001 06/06/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD