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SAN J a A Q U l N Environmental Health Department <br /> COUNTY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: ROUND TABLE PIZZA, 2715 W KETTLEMAN LN, LODI 95240 <br /> #36 Equipment/Utensils/Linens: Proper Storage/Use <br /> OBSERVATIONS:Observed scoop for flour stored on container lid. Store scoop in a manner that prevents cross <br /> contamination. <br /> CALCODE DESCRIPTION:All clean and soiled linen shall be properly stored non-food items shall be stored and displayed separate from <br /> food and food-contact surfaces. (114185.3- 114185.4) Utensils and equipment shall be handled and stored so as to be protected from <br /> contamination. (114074-114075, 114081, 114119, 114121, 114161, 114178, 114179, 114083, 114185, 114185.2, 114185.5) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Gustavo Hernandez-Fausto Expiration Date:June 09,2023 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 124°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 117°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> warm water--men's restroom hand sink--108.00°F hot water--mop sink--124.00°F <br /> display refrigerator--40.00°F walk-in--41.00°F <br /> hot hold cabinet--under front counter--140.00°F warm water--hand sink behind front counter--128.00°F <br /> small reach-in--under counter--44.00°F 3 door reach-in--under pizza prep--41.00°F <br /> hot water--prep sink--120.00°F hot water--3 comp--124.00°F <br /> 2 door reach-in--under pizza prep--41.00°F warm water--womens'restroom hand sink--100.00°F <br /> warm water--hand sink near office--117.00°F <br /> NOTES <br /> sanitizer bucket 200 ppm (quat) <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: Danny D Aspiras, manager, sig not ca <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0017709 PR0526169 SCO01 07/20/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />