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SA N J a +Hl Q U I ` ,'�1}II Environmental Health Department <br /> Food Program Official Inspection Report <br /> Facility Name and Address: MOSSDALE CHEVRON,444 W MOSSDALE RD, LATHROP 95330 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Harman Dhaliwal Expiration Date:September 13,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> corn dog @ hot hold--141.00°F coffee creamer dispenser--37.00°F <br /> 1 door True @ front counter--45.00°F hot dogs @ rollers--107.00°F--per Manager,put out @ 9am <br /> 1 door Criotec--47.00°F--re-checked from 49F Vendo hot hold cabinet--167.00°F <br /> 13 door walk-in cooler--39.00°F mop sink--145.00°F <br /> men's restroom hand sink--100.00°F--re-checked from 63F(hot women's restroom hand sink--101.00°F <br /> water turned back on) <br /> NOTES <br /> MAJOR violation identified <br /> Re-inspection required in 2 weeks(on or after 11-9-23) <br /> The adjoining Subway is out of business. <br /> This space is being used by Chevron for storage(3-comp sink is located at Subway). <br /> No signature obtained <br /> Report typed in the office 2:27p-2:39p <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: discussed w/Madeep Kaur, Mgr. <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0004658 PRO161263 SCO01 10/26/2023 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <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 />