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Food Program Service Request Inspection Report <br />Facility Name and Address: TIKI LAGOON BAR AND GRILL, 12988 W MCDONALD RD , STOCKTON 95206 <br />Environmental Health Department <br />OBSERVATIONS: Obtain quat (0-400ppm ) or chlorine (10-200ppm) sanitizer test strips prior to operation. <br />Quat sanitizer = quat test strips <br />Chlorine sanitizer = chlorine test strips <br />CALCODE DESCRIPTION: Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br />materials shall be provided to measure the applicable sanitization method. (114067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br />114101.1, 114101.2, 114103, 114107, 114125) <br />OVERALL INSPECTION NOTES AND COMMENTS <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 />needed by 60 days <br />100 <br />120 <br />kitchen hand sink -- 101º Fahrenheit bar hand sink -- 120º Fahrenheit <br />kitchen 3 comp -- 120º Fahrenheit bar 3-comp -- 120º Fahrenheit <br />mop sink -- 120º Fahrenheit 2 door Avantco -- kitchen -- 27º Fahrenheit <br />2 door Avantco - left -- kitchen -- 38º Fahrenheit 2 door Padela prep -- kitchen -- 36º Fahrenheit <br />1 door Avantco freezer -- kitchen -- 21º Fahrenheit 2 drawer Avantco -- kitchen -- 35º Fahrenheit <br />2 door Avantco - left -- bar -- 45º Fahrenheit 2 door Avantco - right -- bar -- 43º Fahrenheit <br />3 door Avantco keg -- bar -- 41º Fahrenheit <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Change of ownership consultation inspection conducted <br />One person shall obtain the 5 year Food Safety Certificate within 60 days. Once obtained, provide a copy to Kadeanne Linhares <br />(klinhares@sjgov.org) <br />All other kitchen and bar employees shall obtain the 3 year Food Handler Card within 30 days of hire. Maintain copies on site <br />and accessible. <br />OK to permit as a 1624 once the amount due is paid ($355 annual permit fee plus $15 tech fee) = $370 <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:(209) 616-3025 <br />, <br />KADEANNE LINHARES <br />discussed w/ Dan Dumas, owner <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br />FA0025836 SR2501074 SC2160 06/18/2025