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San Joaquin County <br /> 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 /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: 11TH ST LIQUOR, 18 E ELEVENTH ST ,TRACY <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The floor sink is located inside the walk-in cooler. Per owner, it was allowed by City of Tracy. <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): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 19 door walk-in cooler--35.00°F mop sink--120.00°F <br /> 3 comp sink--120.00°F restroom hand sinks(x2)--100.00°F <br /> 4 door reach-in freezer--4.00°F <br /> NOTES <br /> Hot water heater 19.9 gallon/Rheem M511803883 <br /> quarry tile with proper coving/FRP walls <br /> OK to permit as a 1618 once annual permit fee is paid ($287) <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 Panaich, co-owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> SR0080324 SC061 03/14/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />