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�...Q .. P San Joaquin County <br /> y� 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 /> '9Gl P Oftt� <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 Q), 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(Cl): 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 cold/hot 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 SCO01 10/31/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />