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SANJIN Environmental Health Department <br /> Y I - <br /> 7OBJ IIT`{ <br /> {` � ' Yeotrtess rows �r 1�', Time In: 1:06 pm <br /> 7{,F 4i�Tt <br /> Time Out: 1:48 om <br /> COMPLAINT INSPECTION REPORT <br /> Name of Facility: CHINA KING BUFFET Date: 11/03/2021 <br /> Address: 420 E KETTLEMAN LN, LODI 95240 <br /> Owner/Operator: Telephone: (209)369-1818 <br /> Program Element: 1600- FOOD PROGRAM Complaint#: C00054399 <br /> Responsible Party Contact: <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> MOLD& ROACH INFESTATION AT THIS FACILITY. BETWEEN SUBWAY AND THIS FACILITY. <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 /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Complaint inspection. <br /> Person in charge was not aware of the complaint. <br /> Did not observe cockroaches during inspection. <br /> Facility is serviced by Zap Termite and Pest Control Inc. monthly. <br /> Observed mold inside 2 dr True cooler across from cook line which was not being used. <br /> Per person in charge the cooler was going to be repaired or replaced. <br /> Observed mold on a removed ceiling tile stored near the kitchen exit door, it was discarded during the inspection. <br /> Observed mold inside ice machine, see routine inspection report for violation and correction. <br /> Discussed report with Ivy Chen, person in charge. <br /> No signature captured. <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: Ivy Chen, Person in charge <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0014754 C00054399 SCO04 11/03/2021 <br /> EHD 16-23 Rev.01/07/2021 Page 1 of 1 Complaint Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br />