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�...Q .. C San Joaquin County <br /> 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 /> 4�IFO'Rt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: SUBWAY#1955, 1304 E HAMMER LN, STOCKTON 95210 <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): 200 ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> HW2--backroom--100.00°F sluiced ham--display prep table at counter--41.00°F <br /> 2D cooler--counter--40.00°F broccoli chowder--steam table--155.00°F <br /> 3-comp--kitchen--121.00°F sliced roast beef--display prep table at counter--41.00°F <br /> RR--100.00°F WI--kitchen--40.00°F <br /> teriuyaki chicken--display prep table at counter--34.00°F HW 1 --kitchen--100.00°F <br /> tuna salad--display prep table at counter--49.00°F sliced tomatoes--display prep table at counter--38.00°F <br /> prep sink--kitchen--120.00°F <br /> NOTES <br /> This is first routine inspection. Sanitizer buckets 200 ppm quat. <br /> Notes: <br /> There are currently approximately 300 pounds of carbon dioxide(CO2)cylinders at the facility. Please be aware that CO2 <br /> among other various compressed gas is an asphyxiant and is therefore considered a hazardous material subjected to <br /> regulation under under Chapter 6.95, Health and Safety Code, Division 20. The reportable quantity for CO2 is 137 pounds or <br /> 1,200 cubic feet in San Joaquin County(SJC). You will be placed into SJC Environmental Health Department(EHD)Program <br /> 1919 for Hazardous Material Business Plan (HMBP)and California Environmental Reporting System (CERS)compliance. <br /> Submit reporting requirement in CERS at http://cers.calepa.ca.gov/within 30 days. <br /> SB180 posted in backroom. Post SB180 where public can see in 1 day. <br /> OIR emailed to tiwanasubs@gmail.com <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: perla banales,sandwich artist <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0023738 PRO541422 SCO01 12/21/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />