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Time In: 11-00 am
<br /> Time Out: 11:54 am
<br /> o .. .. San Joaquin County
<br /> .X 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 /> Food Program Service Request Inspection Report
<br /> Name of Facility: LOCKEFORD DONUTS Date: 02/23/2018
<br /> Address: 13464 E HWY 88 , LOCKEFORD 95237
<br /> Requestor: RUN SIM, LOCKEFORD DONUTS Telephone: (978)954-2249
<br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0078734
<br /> Inspection Type: 061 -CONSULTATION
<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 /> #13 Food Contamination and Adulteration
<br /> OBSERVATIONS: Ice maker scoop was placed in the ice. Remove and place the scoop in clean bin.
<br /> CALCODE DESCRIPTION:Any food is adulterated if it bears or contains any poisonous or deleterious substance that may render it
<br /> impure or injurious to health. No food containing artificial trans-fat,including oil, shortening,or margarine containing trans-fat may be
<br /> stored, distributed,or served by, or used in the preparation of any food within a food facility(113967, 113976, 113980, 113988, 113990,
<br /> 114035, 114254(c), 114254.3, 114377)
<br /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization
<br /> OBSERVATIONS:Chlorine sanitizer bucket was not set up. set sanitizer bucket with chlorine 100 ppm or above. Corrected
<br /> on site.
<br /> Chlorine test strips are not available. Provide in 2 days.
<br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097,
<br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141)
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:Pipe draining the 3 comp sink in the back lacks air gap. Provide air gap in 1 week.
<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 /> OVERALL INSPECTION NOTES AND COMMENTS
<br /> OBSERVATIONS
<br /> Name on Food Safety Certificate: Expiration Date:
<br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 124°F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 110°F
<br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS
<br /> FA0000048 SR0078734 SC061 02/23/2018
<br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report
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