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Time In: 9:15 am <br /> Time Out: 9:35 am <br /> q� tv San Joaquin County <br /> q Environmental Health Department <br /> _ J. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �... Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> Food Program Service Request Inspection Report <br /> Name of Facility: TEA DAZE Date: 12/13/2018 <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:One paper towel dispenser is not installed. Install once you get the installation requirements from the city <br /> (ADA requirement). <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing, food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(f)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Ok to issue permit once fee is paid. Program 1624 Fee $355 <br /> Return to office before opening to pay fee and fill out paper work <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 12/13/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />