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Environmental Health Department <br /> SAN-6-JOAQUIN <br /> �M COUNTY <br /> r'�JFOSx'tYY r Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: NONA'S PIZZA&PASTA, 1110 W KETTLEMAN LN , LODI 95240 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk in--41.00°F hand sink- customer restroom 64.00°F <br /> prep sink--120.00°F hand sink- employee restroom- 111.00°F <br /> mop sink--120.00°F hand sink- across 3 comp sink- 100.00°F <br /> 3 door reach in under prep--41.00°F hand sink- next to 3 door reach in--64.00°F <br /> 3 comp sink--120.00°F <br /> NOTES <br /> Change of owner inspection. <br /> PE 1625 <br /> OK to issue permit once evidence of warm water at hand sinks is received, 5021 form is completed, and permit fee is paid. <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: FRANCISCO RUIZ Phone: (209)616-3032 <br /> FA0000175 SR0087010 SC061 01/08/2024 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />