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• . Time In: 1:10 pm <br /> Time Out: 2:00 om <br /> pRa�tr. San Joaquin County <br /> ' Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.ora/ehd <br /> cl€astir <br /> Food Program Service Request Inspection Report <br /> Name of Facility: MOUA+AZ k1 /�{t 1<-e5f I 2,,2,-, Date: 01/12/2017 <br /> Address: 2828 COUNTRY CLUB BLVD , STOCKTON 95219 <br /> Requestor: KAMAL JIT SINGH, MOUNTAIN MIKES PIZZA Telephone: (209)405-2255 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0075664 <br /> Inspection Type: 523 - Plan Check/Report Review <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 potentia/to cause foodbome illness.All major violations must be corrected immediately.Noncompliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Kamaljit Singh Expiration Date: December 08,2021 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 130°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> walk in--40.000 F 4 door prep--41.00°F <br /> warmer-- 135.000 F salad bar--40.00°F <br /> NOTES <br /> Work on the following: <br /> 1. Provide a wall bracket for the storage of brooms, mops, ect by 01/13/17 <br /> 2. Install wall tile at buffet/cashier area by 01/13/17(next to wood cabinet). <br /> 3. Cover gaps under hand sink's water/waste lines by 01/13/17 <br /> 4. Post hand wash sign in restrooms and SB180 at customer area. <br /> 5. Provide food manager certificate by 60 days, food handler cards by 30 days, sanitizer test strips, and probe thermometers. <br /> OK to issue permit once fee is paid. Program 1624 Fee$342. Return to office before restaurant opens. <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: kamaljit, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> SR0075664 SC523 01/12/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />