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Time In: 8:30 am <br /> Time Out: 9:00 am <br /> oPq!!!N.• 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.sjgov.org/ehd <br /> 4��FORa <br /> Food Program Service Request Inspection Report <br /> Name of Facility: LAS PERLAS#13095C2 Date: 09/15/2016 <br /> Address: 1301 S SACRAMENTO ST , LODI 95240 <br /> Requestor: MANRIQUE COBIAN, LAS PERLAS#13095C2 Telephone: (209) 712-1087 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0075764 <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: Maria Ochoa Expiration Date:June 19,2019 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 133°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 108°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> Steam Tavle-- 189.00°F 2D True--35.00°F <br /> 2D Beverage Air--40.00°F <br /> NOTES <br /> Food Plan Check. LIC 13095C2, VIN....305099 <br /> Following were verified: <br /> -Honda 7000 generator installed separately for both water heater(4 gallons) and refrigerators. <br /> -Waste water tank x2 (approximate dimension 12x23x36 inches) of 45 gallons each <br /> -Water tanks x2 (unable to take dimension measurement accurately) of 30 and 20 gallons <br /> -State MFPU insignia SPCM 26886 <br /> - Pass-thru Screened window 14 x 13 inches <br /> Provide the following: <br /> - Horizontal aisle space between wooden prep table and 2D True 25 inches. Provide 30 inches as required under 114321 <br /> OK to issue permit after fee is paid. PE 1635 <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 /> *410e <br /> Received by: Name and Title: MANRIQUE COBIAN, LAS PERLAS <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> SR0075764 SC523 09/15/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />