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Time In: 130 prn <br /> Time Out: 2:30 pm <br /> �.... .. P San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �•.• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: THE SHAW BAR Date: 04/08/2016 <br /> Address: 1305 BUENA VISTA AVE , STOCKTON 95203 <br /> Requestor: OCTAVIO MEDINA, MEDINA&ASSOCIATES Telephone: (209)470-9028 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0072875 <br /> Inspection Type: 523-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 closure of <br /> the food facility. <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: 129°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 130°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> The following shall be provided before the ok to issue permit is given: <br /> 1.A food prep sink with a drain board shall be installed. Waste shall go into a floor sink. <br /> 2.Install splash guard between all sinks. They shall be 6 inches in height. <br /> 3. Floors under mop sink and in rest rooms are VCT with rubber coving. Not up to code. Shall be ceramic tiles with coved <br /> ceramic base. <br /> 4. Cooler is at 72 F. Shall be 41 F or lower. <br /> 5. Oven/range/hood is not commercial.Will contact contractor with this departments requirements. <br /> 6.Provide air gap between end of drain lines and floor sink. <br /> 7.lnstall soap and towel dispenser in rest room. <br /> 8.Rest room sink shall have both hot and cold water. <br /> 9.Provide a wall rack for the storage of mops, brooms, ect. <br /> 10. Provide a large shelve for the storage of utensils, chemicals, ect. <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 /> b <br /> Received by: � Name and Title: <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0017921 SR0072875 SC523 04/08/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />