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SAN J AQ U I N Environmental Health Department <br /> COU r\1T <br /> Grectness grows here. Time In: 11:05 am <br /> Time Out: 11:40 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MR SIBS Date: 11/06/2018 <br /> Address: 4950 PACIFIC AVE, STOCKTON 95207 <br /> Owner/Operator: PEEPLES, DEBBIE A Telephone: (209)474-6423 <br /> Program Element: 1612-FOOD EST<500 SQ FT W/O SEATING <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:Soft serve mix was made 30 min ago and is currently 57 F. make sure it reaches 41 F or lower by 1.5 <br /> hours <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> #22 Disposal of Sewage/Wastewater <br /> OBSERVATIONS:Mop sink is semi-blocked with small freezer. Remove freezer. Sink shall be fully accesible. <br /> CALCODE DESCRIPTION:All liquid waste must drain to an approved fully functioning sewage disposal system. (114197) <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Hot point cooler is not commercial. Not allowed to use non commercial coolers. Replace it by 1 month. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Debbie Peeples Expiration Date:January 16,2020 <br /> Warewash Chlorine(Cl): 200 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 /> hot point- back--40.00°F 1 door central- front -37.00°F <br /> soft serve mix--57.00°F 1 door central- front -38.00°F <br /> NOTES <br /> No comment entered. <br /> FA0002698 PRO160873 SCO01 11/06/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />