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SAN)J DAIJ I N Environmental Health Department <br /> sr <br /> C 0 U NTY <br /> Greatness grows here. <br /> Time In: 1:34 pm <br /> Time Out: 2:42 om <br /> COMPLAINT INSPECTION REPORT <br /> Name of Facility: MCDONALDS#10555 Date: 12/06/2022 <br /> Address: 841 E KETTLEMAN LN, LODI 95240 <br /> Owner/Operator: Telephone: (209)938-0234 <br /> Program Element: 1600- FOOD PROGRAM Complaint#: C00055409 <br /> Responsible Party Contact: <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> CUSTOMER ATE A BIG MAC COMBO WITH CHEESE, MAYO, LETTUCE,AND TOMATO AT FACILITY ON 12/03/22. <br /> HE FELT ILL THAT NIGHT WITH SYMPTOMS OF DIARRHEA(STARTED AT 5AM ON 12/4/22)CHILLS,VOMITING, <br /> FEVER(101.3 F)AND LIGHT HEADEDNESS. HE WENT TO THE ER ON 12/4/22 AND WAS ADMITTED FOR GI <br /> SEPSIS. <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 /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:The 4 D Delfield display was 43 F. Provide 41 F or below. Corrected on site, items were relocated to the <br /> 2 D Traulsen reach-in. <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> #8 Use of Time as a Public Health Control <br /> OBSERVATIONS:Observed that the bacon on at the prep line was past the hold time on the sticker during the inspection. <br /> The bacon has a 4 hour hold time. Do not exceed 4 hour max hold time when time is used as the public health control. <br /> Corrected on site, bacon was discarded. <br /> CALCODE DESCRIPTION: When time only,rather than time and temperature is used as a public health control,records and <br /> documentation must be maintained(114000) <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Observed leaking from fan in 4 D Delfield display. Repair within 1 week. <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 /> FA0000545 C00055409 SCO04 12/06/2022 <br /> EHD 16-23 Rev.01/07/2021 Page 1 of 2 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 />