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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0541581
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/28/2022 12:00:17 PM
Creation date
7/26/2022 8:36:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0541581
PE
1624
FACILITY_ID
FA0023837
FACILITY_NAME
WEST COAST SOURDOUGH
STREET_NUMBER
2602
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
2602 W KETTLEMAN LN #120
P_LOCATION
02
QC Status
Approved
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e A N J O A Q U I N Environmental Health Department <br /> —COU <br /> CC1v N T Y Time In: 9:13 am <br /> Time Out: 9:40 am <br /> cgR�aaAt, Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: WEST COAST SOURDOUGH Date: 07/13/2022 <br /> Address: 2602 W KETTLEMAN LN , LODI 95242 <br /> Requestor: MICHAEL MARTIN, MMARTIN DESIGN Telephone: (916)524-6649 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0084951 <br /> Inspection Type: 523-Plan Check/Report Review <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:Walk-in is at 69F. <br /> Provide at 41 F or lower. <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:Warm water at hand sink in restroom is at 96F. <br /> Provide warm water at this sink with warm water between 10OF-108F, not to exceed 108F, if on a non adjustable faucet. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Karndeep Uppal Expiration Date: May 31,2023 <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 /> 3 door True reach-in/under sandwich prep(L)--35.00°F hand sink--restroom--96.00°F <br /> hand sink--rewstroom--96.00°F 2 door reach-in--under prep--41.00°F <br /> 2 door arctic air reach-in--under prep--37.00°F walk-in--69.00°F <br /> hand sink--next to prep--100.00°F mop sink--121.00°F <br /> 3 comp--120.00°F prep sink--122.00°F <br /> 3 door True reach-in/under sandwich prep(R)--35.00°F <br /> NOTES <br /> pre-plan check final <br /> Observed sticker on water heater that elements are wired together water heater is 9000W. <br /> Operator to contact me for plan check final to recheck walk in refrigerator and warm water at restroom hand sink. <br /> FA0023837 SR0084951 SC523 07/13/2022 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />
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