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II II I Environmental Health Department <br /> A _ OAQU <br /> CCUNT`f <br /> Food Program Official Inspection Report <br /> Facility Name and Address: MOUNTAIN MIKES PIZZA, 550 S CHEROKEE LN, LODI 95240 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Floor sink by the 3 comp sink lacks air gap. Provide air gap 1 inch at least 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: Hossein Fardsalehi Expiration Date: November 08,2018 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 IF <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 111 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Peproni--prep table reach in--45.00°F 3 D cooler--prep table reach in--43.00°F <br /> Walk in cooler--41.00°F Mop sink--121.00°F <br /> Hand sink--Women RR--104.00°F Hand sink--Men RR--104.00°F <br /> Macaroni salad--salad bar--49.00°F <br /> NOTES <br /> Sanitizer buckets have Chlorine 100 ppm. <br /> Dishwasher chlorine is 50 ppm. <br /> Temp in the salad bar is not up to standard as owner is using big container not touching the cold surface at the cold hold. <br /> Owner will bring smaller containers to solve the problem. <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: hossein fardsalehi, owner <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0005955 PRO503738 SCO01 02/07/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />