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Time In: 1-15111m <br /> Time Out: ZT- 5 <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:Wm.s1gov.orglehd <br /> Food Program Service Request Inspection Report <br /> Name of Faci: fr r [ Of Date: 09/14/2016 <br /> Address: 4932 PACIFIC AVE, STOCKTON 95207 <br /> Requestor: ARTHUR OSTROWSKI, NORR Telephone: (312) 873-1067 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0074224 <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 most be corrected immediate .Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION --T °F--C M g TTS <br /> No Temperature Data Collected <br /> NOTES <br /> Pre-final was requested. Work on the following for final: <br /> 1.Hot water shall be 120 F or higher for sinks in kitchen. <br /> 2.Warm water shall be between 100-108 F in rest rooms. <br /> 3. All refrigerators shall be 41 F or lower. <br /> 4.Install soap dispensers in rest rooms. <br /> 5.All gaps between water lines and ceiling or walls shall be sealed. <br /> 6.AII holes on walls shall be covered. <br /> 7.Waste line for soda machine shall be installed. <br /> 8.If possible have food manager certificate on site. <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: Sam Turna a Site super <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: 209 953-7817 <br /> SR0074224 SC523 09/1412016 <br /> EHd 1623 Rev.06130/15 Page 1 of 1 Food Program Service Request Inspection Report <br />