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SAN J O A U I Environmental Health Department <br /> COUNTY <br /> Grratness grows hare, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: Express Donuts Inc. Date: 02/12/2025 <br /> Address: 123 N CHEROKEE LN , LODI 95240 <br /> Requestor: Telephone: ()- <br /> Program Element: 1602- FOOD PROGRAM CHANGE OF OWNER Request#: SR2500844 <br /> Inspection Type: 521 - 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 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate Chandaly Ming Expiration Dateg/26/2027 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 127 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 137 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door reach in w prep top--410 Fahrenheit 2 door display refrigerator--lobby--41°Fahrenheit <br /> 3 comp sink--127°Fahrenheit hand sink -137°Fahrenheit <br /> 1 door display refrigerator--behind front counter--41° prep sink--122°Fahrenheit <br /> Fahrenheit <br /> hand sink--restroom--115°Fahrenheit <br /> NOTES <br /> CHANGE OF OWNER. <br /> PE 1624 <br /> OK to issue permit once permit fee is paid and updated 5021 form is submitted. <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: FRANCISCO RUIZ Phone: (209)616-3032 <br /> FA0000315 SR2500844 SC521 02/12/2025 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program Service Request Inspection Report <br />