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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtoWSS 9r0vr3 here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: TIKI GRILL& BAR, 12988 W MCDONALD RD , STOCKTON 95206 <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Floors and walls in the kitchen have grease,food debris and non food debris. Degrease, clean and <br /> sanitize the floors and walls of the kitchen by 1 week. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth,durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Victor Avalos Expiration Date:June 12,2022 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in--40.00°F chicken--41.00°F <br /> 2 door True--39.00°F raw burger patty--41.00°F <br /> bar 1 door Avantco--34.00°F bar 3 comp--131.00°F <br /> restroom hand sinks--100.00°F 1 door True- 39.00°F <br /> 2 door US prep--34.00°F <br /> NOTES <br /> Ownership change effective Aug 1 , 2019 <br /> OK to permit as a 1623 once annual fee is paid <br /> Return to 1868 E Hazelton Ave in Stockton to pay permit fee within 3 business days($350) <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: Victor Avalos, Manager <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0004175 SR0081102 SC061 09/04/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />