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SAN JOAQUIN
<br /> Environmental Health Department
<br /> CCU 1T
<br /> Food Program Official Inspection Report
<br /> Facility Name and Address: SAMS PIZZA&MORE, 1854 COUNTRY CLUB BLVD, STOCKTON 95204
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:Waste line servicing soda fountain drops into floor drain. Provide a one inch air gap by 1 week.
<br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required
<br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing
<br /> ordinances, shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose
<br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171,
<br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269)
<br /> #44 Premises: Clean/Litter Free;Vermin-Proof
<br /> OBSERVATIONS:Walk in floor and dry storage surfaces are not clean. Clean by 1-2 weeks and maintain.
<br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen
<br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be
<br /> kept vermin proof. (114067 U, 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2,
<br /> 114259.3, 114279, 114281, 114282)
<br /> #45 Floors,Walls, Ceilings; Clean and Maintained
<br /> OBSERVATIONS:Ceiling was damaged due to leak from drain lines from roof. Ceiling is exposed at dry storage and next
<br /> to walk in cooler-towards exit door. Owner stated that landlord will repair ceiling. Repairs shall be done by 1 month.
<br /> CALCODE DESCRIPTION: The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor
<br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily
<br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original
<br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d),
<br /> 114266, 114268, 114268.1, 114271, 114272)
<br /> OVERALL INSPECTION NOTES AND COMMENTS
<br /> OBSERVATIONS
<br /> Name on Food Safety Certificate: Varna Hak Expiration Date: November 20,2021
<br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 12°F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F
<br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS
<br /> 3 door prep--kitchen--41.00°F 2 door true--front--36.00°F
<br /> NOTES
<br /> No comment entered.
<br /> FA0001902 PRO160549 SCO01 10/03/2018
<br /> EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program OIR
<br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com
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