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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 /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CALIFORNIA BURRITO, 6425 W BANNER RD , LODI 95242 <br /> #40 Proper Use and Storage of Wiping Cloths <br /> OBSERVATIONS:Set up sanitizer containers to keep cloth towels use for wiping counters when not in use. <br /> CALCODE DESCRIPTION: Wiping cloths used to wipe service counters,scales or other surfaces that may come into contact with food <br /> shall be used only once unless kept in clean water with sanitizes (114135, 114185.1 114185.3(d-e)) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The waste line from the ice machine is going into the floor sink. Provide one inch minimum air gap <br /> between the end of the waste line and the top of the floor sink. Correct prior to operating the business. <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:The air curtain on the pass through window is not operating. Repair prior to operating the business. <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 0), 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: Jaime TobAnche Expiration Date:September 02,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 105°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> air--cold drawers--48.00°F air--walk in freezer--9.00°F <br /> air--3 door traulsen cooelr--41.00°F air--3 door prep table--40.00°F <br /> air--walk in cooler--45.00°F <br /> NOTES <br /> Ok issue a permit. Obtain permit prior to operating the business. <br /> Contact all other agencies that apply for approval. <br /> PE 1625 <br /> FA0007144 SR0080207 SC061 02/14/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program Service Request Inspection Report <br />