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Time In: 12-55 p <br /> Time Out: 2:12 om <br /> Pqurn/ San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., �P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> L/PORN <br /> Food Program Service Request Inspection Report <br /> Name of Facility: LITTLE CAESARS Date: 05/03/2017 <br /> Address: 310 N HAM LN , LODI 95242 <br /> Requestor: CHRIS BOYER, C&L DRAFTING Telephone: (916)705-2673 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0076285 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Patrick Himes Expiration Date:July 08,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door under prep--40.00°F mop sink 126.00°F <br /> 3 comp 122.00°F hand sink- restroom--100.00°F <br /> walk-in--40.00°F hand sink--kitchen--107.00°F <br /> hand sink--front--101.00°F <br /> NOTES <br /> PE 1614 <br /> Ok to issue permit once fee is paid. <br /> Rinnai RUC98 <br /> Observed a few ceiling tiles that are missing. Provide prior to operating. <br /> Hand wash sign is lacking at restroom. Provide. <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: brian jones, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> SR0076285 SC523 05/03/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />