Laserfiche WebLink
Time In: 9.15 am <br /> Time Out: 9:45 am <br /> o .. .. 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 /> Food Program Service Request Inspection Report <br /> Name of Facility: TEA DAZE Date: 12/11/2018 <br /> Address: 4343 PACIFIC AVE , STOCKTON 95207 <br /> Requestor: Telephone: (916)607-7767 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0079562 <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: Jimmy Tran Expiration Date:October 27,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 130°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Artic Air--38.00°F 2 door prep--35.00°F <br /> NOTES <br /> Work on the following issues and call me when they have been corrected <br /> 1. Rest room base is wood. Remove and provide slim foot ceramic tiles. <br /> 2. Provide for rest room door a self closing device. <br /> 3. Provide covers for all of the light switches. <br /> 4. Install a paper towel dispenser for hand sink next to prep sink. <br /> Equipment:AO Smith 40,000 BTU Water Heater, 3 comp, prep sink, mop sink, 2 comp dump sink, 2 hand sinks, 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: Jimmy Tran, manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> SR0079562 SC523 12/11/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />