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SAN a O A Q U I N Environmental Health Department <br /> c: 0U ,NIY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: RUBIOS COASTAL GRILL, 1515 S LOWER SACRAMENTO RD, LODI 95242 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: christina Martin Expiration Date:June 15,2021 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 95°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> chicken--steam table--145.00°F beans--steam table--170.00°F <br /> walk in--38.00°F true 2 door display--behind front counter--40.00°F <br /> salsa--prep table--40.00°F 2 door prep ref--below prep table--40.00°F <br /> NOTES <br /> sanitizer bucket- 100 ppm quat-corrected to 200 ppm quat <br /> 300 Lb. CO2 cannister located at facility.This is a hazardous material which must be reported to the CERS website and a <br /> permit will be issued regarding the CO2 storage compliance. <br /> Please call Leyna Huyhn at 209-468-3446 for instructions. <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. Christina Martin, manager <br /> EH Specialist: NICHOLAS WIESEMAN Phone: (209)468-3445 <br /> FA0024804 PR0543652 SCO01 11/28/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />