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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... _ P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: Subway, 612 W LODI AVE , LODI 95240 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Hand wash station in the back kitchen is slowly draining. Repair in 1 week. <br /> CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances, shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 127°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 111 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Cream soup--Steam table--156.00°F Grilled chicken--Cold hold--40.00°F <br /> Hand sink--Rest room--80.00°F Sliced tomatoes--Cold hold--41.00°F <br /> Tuna salad--Cold hold--39.00°F Meat ball--Steam table--190.00°F <br /> Walk in cooler--40.00°F Hand sink--Counter--117.00°F <br /> Prep sink--126.00°F <br /> NOTES <br /> Sanitizer buckets are set up with QUAT 200 ppm. <br /> Water heater needs to be maintained as the temps are oscillating above and below the 120F. <br /> OIR emailed to k2kyrsb@gmail.com <br /> OK to permit. Obtain permit as soon as possible. <br /> PE 1623 $350 to be 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: I Name and Title: Togiur Khan, mgr <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0019044 SR0079748 SC061 10/18/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />