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S A I D J O M Q V I N Environmental Health Department <br /> COU N7Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DONUT TIME BURGER&MORE, 3645 E CHEROKEE RD, STOCKTON 95205 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Back hand wash sink is slowly draining. Repair 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: Sophia Sam Expiration Date:April 12,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 138°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 106°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 D True display cooler/Milk--Dining--41.00°F 2 D Bev Air reach in cooler--Kitchen--45.00°F <br /> 2 D True cooler/vegetable--Kitchen--41.00°F 2 D True display cooler--Dining--41.00°F <br /> Mop sink--126.00°F Hand sink--Front counter--115.00°F <br /> 2 D True cooler--Kitchen--36.00°F Prep sink--121.00°F <br /> Hand sink--Rest room--100.00°F <br /> NOTES <br /> Sanitizer bucket is set up with QUAT 300 ppm. <br /> Official report will be mailed to facility address. <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 /> b� <br /> Received by: Name and Title: Sophia Sam, Owner <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0006587 PR0505167 SCO01 03/13/2019 <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 />