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Time In: 12:15 pm <br /> Time Out: 1:00 pm <br /> oPQ�tN. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.smgov.org/ehd <br /> Food Program Official Inspection Report <br /> Name of Facility: HARNEY LANE AMPM Date: 09/03/2015 <br /> Address: 255 E Harney Ln, LODI 95240 <br /> Owner/Operator: HARNEY LANE INC Telephone: (916) 715-6425 <br /> Program Element: 1617 - 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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS: No sanitizer in sanitizer bucket. Provide proper concentration of sanitizer(ie. around 100 ppm but not <br /> more than 200 ppm chlorine). Corrected on site: at first around 300 ppm chlorine, then to around 100 ppm chlorine. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (113984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101(b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141) <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS: Soda machine nozzles dirty. Clean and sanitize. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Parmajit Singh Expiration Date: May 28,2018 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> Mop sink-- 121.00°F Women restroom-- 100.00°F <br /> tomatoes--condiment reach in--39.00° F Men restroom-- 100.00°F <br /> 3D True--41.00°F Hand sink--by 3-comp-- 100.00°F <br /> 9D Display(dairy)--35.00°F Hot Hold Display-- 155.00° F <br /> 2D cooler/reach in--41.00°F Hand sink--prep table-- 100.00°F <br /> Display cooler(sandwiches)--41.00°F <br /> NOTES <br /> Sanitizer bucket was o ppm; then corrected to around 100 ppm. <br /> FA0021617 PR0537810 SCO01 09/03/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OIR <br />