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COMPLIANCE INFO_2021
Environmental Health - Public
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1600 - Food Program
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PR0516528
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COMPLIANCE INFO_2021
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Last modified
8/31/2021 11:38:19 AM
Creation date
4/15/2021 4:35:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0516528
PE
1625
FACILITY_ID
FA0012662
FACILITY_NAME
JACK IN THE BOX #4301
STREET_NUMBER
2425
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2425 W Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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Environmental Health Department <br />Time In: <br />10:03 am <br /> 9:27 am <br />Time Out: <br />Program Element: 1625 - RESTAURANT/BAR 51-100 SEATS <br />Telephone: (510) 792-3393 Owner/Operator: ANIL YADAV <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 2425 W Kettleman Ln, LODI 95242 <br />Date: 04/14/2021Name of Facility: JACK IN THE BOX #4301 <br />Food Program Official Inspection Report <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 /> #41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: Observed faucet leaking at at base when water is turned on at hand sink next to front counter. <br />Repair/replace so that faucet does not leak. <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 100 <br /> 121 <br />Veronica Barron <br />OVERALL INSPECTION NOTES AND COMMENTS <br />"Wash" water -- in wash compartment of 3 comp sink -- 105.00º F McCall double stack refrigeator/freezer -- next to deep fryer -- <br />41.00º F <br />mop sink -- 120.00º F 3 comp -- 121.00º F <br />reach-in -- at drive thru -- 41.00º F walk-in -- 41.00º F <br />McCall double stack refrigerator/freezer -- near taco station -- <br />40.00º F <br />hand sink -- Men's restroom -- 110.00º F <br />chicken patty -- hot hold -- 178.00º F McCall reach-in -- under front counter -- 36.00º F <br />4 door cold drawers -- under griddle -- 41.00º F hand sink -- cooks area -- 117.00º F <br />hand sink -- next to walk-in -- 100.00º F prep sink -- 121.00º F <br />hand sink -- Women's restroom -- 100.00º F hand sink -- near front counter -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />sanitizer bucket 200ppm (quat) <br />Signature not captured due to COVID <br />Page 1 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0012662 PR0516528 SC001 04/14/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com
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