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Environmental Health Department <br /> SAN J O A Q U I N <br /> COUNTY <br /> .c_ r <br /> Gr£otness grows here. Time In: 210 pm <br /> Time Out: 3:00 om <br /> Hazardous Materials Program Official Inspection Report <br /> Name of Facility: Round Table Pizza Date: 09/28/2018 <br /> Address: 2819 W MARCH LN, STOCKTON 95219 <br /> Owner/Operator: ROUND TABLE DEVELOPMENT COMPANY Telephone: (925)969-3900 <br /> Program Element: 1919-HMBP-0O2 Only Food Facility <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit Reinspection on or after: <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 closure of <br /> the food facility. <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 section(s)116043,116040,& <br /> 116050. All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and must be corrected immediately or be subject to closure pursuant to California Code of Regulations(Title 22)section 65545. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Flow rate: gpm Chlorine: ppm Temp: ° F <br /> Cyanuric acid: ppm pH: Combined chlorine: ppm <br /> NOTES <br /> No comment entered. <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 /> "4�1 <br /> Received by: Name and Title: Mike Jones, manager <br /> EH Specialist: NICHOLAS WIESEMAN Phone: (209)468-3445 <br /> FA0018259 PR0530845 SCO01 09/28/2018 <br /> EHD 19-01 Rev.06/30/15 Page 1 of 1 Hazardous Materials Program <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />