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• • Time In: 1045 am <br /> Time Out: 11:45 am <br /> a�rf San Joaquin County <br /> P _ Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.ora/ehd <br /> cl'ai5'a�'� <br /> Food Program Service Request Inspection Report <br /> Name of Facility: AOL)Y4 A MIKl5 ( TT <br /> a�.Qj3 Date: 01/03/2017 <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 potential to cause toodborne 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 /> FOOD ITEM--LOCATION—TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> This is a pre-final inspection. <br /> Notes: <br /> -Gas nor power(except lights under temporary power)have been turned on during this inspection. None of the equipment <br /> has been turned on yet. <br /> -New water heater is rated at 76,000 BTU,though EHD condition letter dated 9/14/2016 calls for 80,000 BTU on <br /> The following items are required before permit can be issued: <br /> 1. Salad bar waste waster drains to floor sink with 1 inch gap <br /> 2.Splash guard at least 6 inches high between 3-comp sink and prep sink <br /> 3. Observed 150 pounds of carbon dioxide(CO2)between three 50-pound cylinders at the facility. Please be aware that CO2 <br /> among other various compressed gas is an asphyxiant and is therefore considered a hazardous material subjected to <br /> regulation under Health and Safety Code. The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin <br /> County. You will be placed into EHD Program 1919 for Hazardous Material Business Plan(HMBP)and California <br /> Environmental Reporting System(CERS)compliance, unless Environmental Health Department receives evidence that the <br /> amount on site is below the reporting limit in 3 days. You may submit such evidence(i.e. photos,documentation)to <br /> jwong@sjcehd.com <br /> 4. Provide soap and paper towel in mounted soap dispensers at hand wash. <br /> 5. Provide 41 F or below for internal temperature of all cold potentially hazardous food(PHF)and 135 F or above for all hat <br /> PHF <br /> 6. Provide 120 F at 3-comp sink and 100 to 108 F at handwash sinks <br /> 7.3/8 inch coving baseboard for all food storage/prep and restroom area. <br /> OIR emailed to joseagarcial2@yahoo.cem <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 /> V <br /> Received by: Name and Title: rafael Segura, contractor/worker <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> SR0075664 SC523 01/03/2017 <br /> EHD 16-23 Rev.U6I30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />