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Time In: 9.10 am <br /> Time Out: 9:40 am <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: 05/02/2016 <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: 140°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 140°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door continental--39.00°F <br /> NOTES <br /> Prep sink lacks a drain board. If sink is replaced in the future a proper sink shall be installed. <br /> Facility has a non commercial range/oven. No cooking of grease laden vapor foods inside building. By order of the Stockton <br /> Fire Dept. <br /> Waste line under hand sink leaks. Repair today. <br /> Provide soap at hand sink at all times. <br /> Food manager and food handler certificates shall by on site by 60 days. <br /> Wall to the right of mop sink is absorbent. Paint by 2 days. <br /> Base tiles in rest room lack some grout. Provide by 2 days. <br /> Post provided signs. <br /> OK to issue permit once fee paid. Return to office before opening. Program 1623. Fee$300 <br /> Mop sink,hand sink, small 3 comp sink, prep sink, 32,000 BTU WH, 1 rest room <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: lakeishsa Little, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0017921 SR0072875 SC523 05/02/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />