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Program Element: 1601 - FOOD PLAN CHECK <br />Telephone: (209) 843-4551 Requestor: ANA R ORTIZ SANROMAN, LION'S XTREME NUTRITION CLUB <br />Inspection Type: 523 - Plan Check/Report Review <br />Address: 19021 E HWY 26 , LINDEN 95236 <br />Date: 05/17/2023Name of Facility: LION'S XTREME NUTRITION CLUB <br />Food Program Service Request Inspection Report <br /> 1:17 pm <br />12:51 pm <br />Time Out: <br />Time In: <br />Request #: SR0086208 <br />Environmental Health Department <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 />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 />Needed <br />No Temperature Data Collected <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />No major violations. Verified correction of violations: 6, 43, and 45 observed on the prefinal inspection dated 03/01/2023. Items <br />1 and 14 are pending correction. <br />OKAY to issue permit once permit once pink and green facility forms have been submitted with permit fee payment. <br />Program Element: 1623 <br />Fee: $350 <br />Print and maintain a copy of the most current inspection report on-site. <br />Note: The signature of the person receiving the inspection report was not obtained during the inspection. <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) 561-8923 <br />, <br />CLAUDIA MURO <br />Page 1 of 1EHD 16-23 Rev. 07/05/2022 Food Program Service Request Inspection Report <br /> SR0086208 SC523 05/17/2023