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Time In: 9:15 am <br /> Time Out: 9:45 am <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 4L�FOR� <br /> Food Program Service Request Inspection Report <br /> Name of Facility: TEA DAZE Date: 12/11/2018 <br /> Address: 4343 PACIFIC AVE , STOCKTON 95207 <br /> Requestor: Telephone: (916) 607-7767 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0079562 <br /> Inspection Type: 523 - Plan Check/Report Review <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Jimmy Tran Expiration Date:October 27,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 130°F <br /> FOOD ITEM --LOCATION --TEMP°F --COMMENTS <br /> 1 door Artic Air--38.00°F 2 door prep--35.00° F <br /> NOTES <br /> Work on the following issues and call me when they have been corrected <br /> 1. Rest room base is wood. Remove and provide slim foot ceramic tiles. <br /> 2. Provide for rest room door a self closing device. <br /> 3. Provide covers for all of the light switches. <br /> 4. Install a paper towel dispenser for hand sink next to prep sink. <br /> Equipment: AO Smith 40,000 BTU Water Heater,3 comp, prep sink, mop sink,2 comp dump sink,2 hand sinks, 1 rest room <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: Jimmy Tran, manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> SR0079562 SC523 12/11/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />