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pA41!h, • San Joaquin County 411 <br /> aA�o fqy <br /> s Environmental Health Department <br /> ` 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.ora/ehd <br /> �r dW <br /> Food Program Official Inspection Report <br /> Facility Name and Address: SAMS PIZZA & MORE, 1854 COUNTRY CLUB BLVD, STOCKTON 95204 <br /> #44 Premises: Clean/Litter Free; Vermin-Proof <br /> OBSERVATIONS: Front door is open. Saw a couple of flies in kitchen. Door shall remain closed to prevent entrance of <br /> vermin. <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(), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Vannara Hak Expiration Date: November 11,2016 <br /> Warewash Chlorine(CI): ppm Heat: °F Water/Hot Water Ware Sink Temp 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 120°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> rice--counter-- 157.00°F 3 door prep cooler—kitchen-top—25.00°F <br /> 2 door true—front—41.00°F 3 door prep cooler—kitchen-bottom--36.00°F <br /> walk in—kitchen--41.00°F <br /> NOTES <br /> NOTE: Facility will have a smoothie prep area in the future. Install a hand sink with coldfhot water and soap and paper towels. <br /> Sink shall be provided with splash guard of at least 6 inches in height from front end to back end. Light bulb in this area shall <br /> be provided with cover. <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: vannara hak, vannara hak <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0001902 PRO160549 SC001 10/3V2016 <br /> EHD 1623 Rev.06/30'15 Page 2 of 2 Food Program OR <br />