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SANJOAQUI Environmental Health Department <br /> ,n !�-L. x COU T Time In: 9:00 am <br /> € Time Out: 9:45 am <br /> c,Foa�'`r Erectness grows Frere, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: FIVE BELOW Date: 01/08/2024 <br /> Address: 2350 W KETTLEMAN LN , LODI 95242 <br /> Requestor: SHANNON LOUCKS, STATE PERMITS INC Telephone: (406)897-0786 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0087061 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The hot water temperature at the mop sink was observed at 116 F.Adjust water heater to maintain 120 <br /> F minimum. Correct today. Send photo correction to fgarciaruiz@sjgov.org <br /> The warm water temperature at the left restroom hand sink was observed at 54 F.Adjust unit so that it maintains 100- 108 F <br /> as it is an nonadjustable faucet. Correct today. Send photo correction to fgarciaruiz@sjgov.org <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--restroom(R)--100.00°F hand sink--restroom(L)--54.00°F <br /> mop sink--116.00°F <br /> NOTES <br /> Plan check final inspection. <br /> PE 1618 <br /> Water heater: 3 KW <br /> OK to issue permit once master file form I & II are completed, evidence of correction for hot and warm water at mop sink and <br /> hand sink are received, 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 /> FA0024028 SR0087061 SC523 01/08/2024 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 1 Food Program Service Request Inspection Report <br />