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Program Element: - <br />Telephone: () - Requestor: <br />Inspection Type: 2160 - Field Activity/Other Inspection <br />Address: 1110 W KETTLEMAN LN , LODI 95240 <br />Date: 07/08/2025Name of Facility: <br />Food Program Service Request Inspection Report <br />Request #: SR2501218 <br />Environmental Health Department <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 />closure of the food facility. <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 />4/25/2030Itzcoatl Friaz <br />106 <br />129 <br />3 comp sink -- 129º Fahrenheit hand sink -- 106º Fahrenheit <br />hand sink -- Men's restroom -- 103º Fahrenheit hand sink -- Women's restroom -- 130º Fahrenheit <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Change of owner. <br />PE 1612 <br />OK to issue permit once permit fee is paid and 5021 form is completed. <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) 616-3032 <br />, <br />FRANCISCO RUIZ <br />, <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br /> SR2501218 SC2160 07/08/2025