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�...Q .. P San Joaquin County <br /> y� 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 /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: PANERA BREAD#968, 2533 KETTLEMAN LN, LODI 95242 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Raymond Bustos Expiration Date: February 02,2020 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sink--110.00°F hand sink--acroos from proofer--100.00°F <br /> prep sink--121.00°F 4 door under cold drawer Cafe side--next to lettuce crisper-- <br /> 41.00°F <br /> reach-in--under Espersso machine--41.00°F 2 door--under panini press--41.00°F <br /> walk-in--41.00°F Cold sandwich overflow 4 door--38.00°F <br /> hand sink--Men's restroom--107.00°F potato soup--163.00°F <br /> Employee--106.00°F hand sink--Women's restroom--118.00°F <br /> mopsink--123.00°F 4 door cold drawer Cafe side--next to hand sink--41.00°F <br /> 2 door under bagel racks--bakery side--41.00°F <br /> NOTES <br /> There currently is more than 137lbs of carbon dioxide(CO2)cylinders at the facility. Please be aware that CO2 is an <br /> asphyxiant and is therefore considered a hazardous material subject to regulation under Chapter 6.95, Health and Safety <br /> Code, Division 20, The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin County(SJC). You will <br /> be placed into the SJC Environmental Health Program for Hazardous Material Business Plan (HMBP)and will be required to <br /> report your hazardous materials in the California Environmental Reporting System (CERS). For more information or to <br /> comply with the reporting requirement in CERS, please go to: http://cers.calepa.ca.gov/ <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: erald lee henderson <br /> Y 9 <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0017683 PR0526133 SCO01 12/19/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />