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ol'Aµlh v San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> p. Telephone:(209)468-3420 Fax: (209)464-0138 Web:www sioov.org/ehd <br /> Food Program Official Inspection Report <br /> Facility Name and Address: LAKEWOOD LIQUORS,215 LAKEWOOD MALL , LODI 95242 <br /> #44 Premises: Clean/Litter Free; Vermin-Proof <br /> OBSERVATIONS:Observed clutter in back area. Clean. <br /> Reorganize. <br /> CALCODE DESCRIPTION: The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (1140670), 114123, 114143(a) &(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl):—Ppm Heat: °F WaterlHot Water Ware Sink Temp 126°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp_°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> restroom--hand sink— 118.00°F refrigerator--9 door display--41.000 F <br /> NOTES <br /> Pre packaged food facility. <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: sunny Singh <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0000700 PRO160325 SCO01 01/14/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OR <br />