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.514, ' <br /> SANAMUIN Environmental Health Department <br /> W-4.00orGreatness gross here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: Express Donuts Inc. Dale: 02112/2025 <br /> Address: 123 N CHEROKEE LN , LODI 95240 <br /> Requestor. Telephone: 0- <br /> Program Element: 1602- FOOD PROGRAM CHANGE OF OWNER Request#: SR2500844 <br /> Inspection Type: 521 -Plan Check/Report Review <br /> VIOLATIONS ANIS CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth'A the California Hearth and Safety Code Commencing with section 7 <br /> 113700.All violations must be corrected within specified timeframe, viwations that are ciassdied as'M)OR'pose an immediate threat to put)hc health <br /> and have the patenhal to cause fopdbome rlfness_Alt major violations must be Corrected ffnabalarp .rYon-compbance may warrant immediate <br /> OVERALL INSPEC71 N NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate Chandaty Ming Expiration Date9,2be2027 <br /> Warewash Chtonne tClt: ppm Heat °F Water/Hot water Ware Sink Temp. 127 °F <br /> Quaternary Ammonia IQAI: ppm Hand Sink Temp. 177 "F <br /> FOOD ITEM—LOCATION—TEMP-IF—COMMENTS <br /> 1 door reach in w prop top—41"Fahrenheit 2 door display refrigerator—lobby--41'Fahrenheit <br /> 3 comp sink--127°Fahrenneit 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 Isstie permit once permit tee Is paid and updated 5021 form is submitted. <br /> `he person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections or the Cali%rnie Health and <br /> Safety Code-If a reinspection is required fees will be assessed at the Current hmrly rate <br /> Received bv: Name and Title: <br /> EH Specialist: FRANCISCO RUIZ Phone- (209)616-3032 <br /> FAOM315 SR2500644 SCS21 C012t2025 <br /> EHE 1$-23 Rev.08:1602020 Page 1 of T Food Program Servics Rs"a Inspacinn Region <br /> P(� 01 U 19301 <br />