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1600 - Food Program
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PR0537058
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Last modified
5/22/2020 2:59:40 PM
Creation date
7/24/2019 2:38:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537058
PE
1632
FACILITY_ID
FA0021267
FACILITY_NAME
RIO VALLEY CHARTER SCHOOL
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06037001
CURRENT_STATUS
01
SITE_LOCATION
1110 W KETTLEMAN LN STE 10
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Time In: 1.17 pm <br /> Time Out: 2:00 om <br /> �P.Q•ut�!. C San Joaquin County <br /> ).•'�4'•.OG <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.s'gov.org/ehd <br /> 4�IFO';Rt� <br /> Food Program Official Inspection Report <br /> Name of Facility: DREAM ICE CREAM PARLOR Date: 10/02/2017 <br /> Address: 1110 W KETTLEMAN LN, LODI 95240 <br /> Owner/Operator: PHAN, DAWSON Telephone: (209)688-2288 <br /> Program Element: 1616-RETAIL MARKET< 1000 SQ FT W/FOOD PREP <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:Warm water at hand wash sinks(restroom)91 F-93F. Provide warm water at a minimum of 100F at <br /> these sinks. <br /> Observed items in hand sink. Remove items. Hand sink to be accessible. Ok, corrected. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(0) <br /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS:Sanitizer test strips are lacking. Provide. <br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br /> 114101.1, 114101.2, 114103, 114107, 114125) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Water is turned off at mop sink. Provide hot and cold water at this sink. <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: Brian Shin Expiration Date: February 28,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> FA0021267 PRO537058 SCO01 10/02/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />
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