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Environmental Health Department <br />Facility Name and Address: VILLAGE COFFEE SHOP INC, 416 W LODI AVE, LODI 95240 <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 /> 200 120 <br /> 121 <br />Debra Roberson October 03, 2024 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />2 door reach in -- Under pie display -- 41.00º F 2 door reach in -- Under prep -- 41.00º F <br />Pie display cooler -- 47.00º F 2 door Blue fin cooler -- 41.00º F <br />chili -- Hot hold -- 149.00º F Mop sink/hand sink -- Employee restroom -- 120.00º F <br />1 door reach in -- Under burger/sanwich prep -- 41.00º F 2 door Blue Air cooler -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Sanitizing buckets- 200 ppm Cl <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) 616-3032 <br />, <br />FRANCISCO RUIZ <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0001042 PR0160081 SC001 08/16/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD