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Environmental Health Department <br />Facility Name and Address: ROUND TABLE PIZZA, 2715 W KETTLEMAN LN, LODI 95240 <br />Food Program Official Inspection Report <br /> #35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: Observed debris on top of the dishwasher. <br />Clean and sanitize. <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 />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 />OVERALL INSPECTION NOTES AND COMMENTS <br />prep sink -- 120.00º F hand sink -- warewash room -- 107.00º F <br />upright display -- 41.00º F hand sink -- men's restroom -- 101.00º F <br />2 door reach-in -- under counter -- 41.00º F hand sink -- women's restroom -- 100.00º F <br />2 door reach-in -- pizza prep -- 41.00º F walk-in -- 41.00º F <br />shredded cheese -- salad bar -- 40.00º F mop sink -- 127.00º F <br />reach-in heat cabinet -- 144.00º F hand sink -- front -- 118.00º F <br />3 door reach-in -- pizza prep -- 41.00º F carbon dioxide tank -- next to water heater -- 550.00º L <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />sanitizer bucket 200ppm (quat) <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: <br />EH Specialist:Phone: <br />Danny, manager, <br />STEPHANIE RAMIREZ <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program OIR <br />FA0017709 PR0526169 SC001 04/18/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com