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SA N'tJ D A Q U I N Environmental Health Department <br /> l��kiw <br /> —COUNTY <br /> Greorness grows here, Time In: 12-57 pm <br /> Time Out: 1:22 om <br /> Food Program Official Inspection Report <br /> Name of Facility: FLAG CITY CHEVRON Date: 07/19/2021 <br /> Address: 6421 CAPITOL AVE, LODI 95242 <br /> Owner/Operator: STARS HOLDING CO. LLC Telephone: (925)300-3459 <br /> Program Element: 1615-RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD 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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Observed debris on ice machine deflector plate. <br /> Clean and sanitize. <br /> Observed debris on "honeycomb vent"in small refrigerator next to register, <br /> Clean <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, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 comp/hand sink--120.00°F "Naked"juice display refrigerator--39.00°F <br /> small referigerator--near register--40.00°F mop sink--120.00°F <br /> walk-in w display doors--41.00°F hand sink--Men's resrtoom--100.00°F <br /> hand sink--Womens restroom--100.00°F <br /> NOTES <br /> Signature not captured due to COVID <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: Stacey Evens, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0000485 PRO160308 SCO01 07/19/2021 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />