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ulew <br /> (, <br /> `.'_ Environmental Health Department <br /> 'a SAN J 0 A Q U I N <br /> � �� � CC)uNTY <br /> �:1t,�P�r. 'CrC47tri£SS f�rpWf titlaCr�', <br /> Food Program Service Request Inspection Report <br /> Name of Facility: La Mesa Bate: 11125/2024 <br /> Address: 1771 N WILSON WAY, STOCKTON 95205 <br /> Requestor: Telephone: ()- <br /> Program Element: 1602- FOOD PROGRAM CHANGE OF OWNER Request#: SR2400577 <br /> Inspection Type: 3500-Re-Inspection <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 es"MAJOR'pose an immediate threat to public health <br /> and have the potential to cause foodbome illness.AY major violations must be corrected immediately. Non-compliance may warrant immediate <br /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS:Sanitizer for food contact surfaces and warewashing is lacking. Provide chlorine bleach concentration of 100- <br /> 200 Parts Per Million (PPM)or quaternary ammonia(quats)200-400 Parts Per Million (PPM)for proper sanitizing of food <br /> contact surfaces and warewashing of kitchenware and utensils.Correct prior to operation. <br /> Sanitizing test strips were not available at the facility.Obtain sanitizing test strips to ensure the sanitizing solution has the <br /> required concentration of Sanitizer for the proper sanitizing of all food contact surfaces and warewashing. Correct prior to <br /> operation. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized,(113984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a,b,d), 114117, 114125(b), 114135, 11414 1) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate Expiration Date: <br /> Warewash Chlorine(Cl): ppm I!- ,:' waterlHot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM --LOCATION--TEMP'F—COMMENTS <br /> Walk-in cooler--38°Fahrenheit <br /> NOTES <br /> Reinspection. <br /> Verified correction of major violation.Two minor violations pending correction. <br /> '""A 5-year food manager certificate is lacking, Obtain certification and maintain a copy on site. Provide a copy of the certificate <br /> to cmuro@sjgov.org within 60 days. <br /> OKAY to issue permit once permit fee is paid and 5021 is updated. <br /> Program Element: 1624 <br /> Fee: $355 <br /> FA0000792 SR2400577 SC3500 1112512024 <br /> EHD 16-23 Rev.0 9 11 6120 2 0 Page 1 of 2 Food Program Service Request InspecUon Report <br />