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�...Q .. C 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.s'gov.org/ehd <br /> 4�IFO'Rt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: JACK IN THE BOX#4300, 1935 W ELEVENTH ST,TRACY 95376 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:3-comp's faucet at hot water knob area has a leak. Repair leak 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 /> #47 Signs Posted; Last Inspection Report Available <br /> OBSERVATIONS:Maintain current permit on site. Correct in 1 week. <br /> CALCODE DESCRIPTION:Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br /> hands after using the restroom(113953.5)(b)No smoking signs shall be posted in food preparation, food storage, warewashing, and <br /> utensil storage areas(113978). (c)Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br /> such as salad bars and buffets. (d)Any food facility constructed before January 1, 2004, without public toilet facilities,shall prominently <br /> post a sign within the food facility in a public area stating that toilet facilities are not provided(113725.1, 114381 (e)). Proper posting of <br /> nutritional information at facilities with 20 or more chains in California(114094). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: 111 °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 /> Soft Serve--41.00°F McCall(1-door)--41.00°F <br /> McCall(1-door)--48.00°F 1-door--41.00°F <br /> 1-door(prep)--37.00°F Rice--135.00°F <br /> Walk-in--41.00°F McCall(1-door)--48.00°F <br /> McCall(1-door)--48.00°F 4 drawers--43.00°F <br /> NOTES <br /> Sanitizer bucket-400ppm quat <br /> Note: Facility not using dishwasher currently and unable to turn on. <br /> Note: Unable to check men's restroom-occupied. <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 /> )4�A�_� <br /> Received by: Name and Title: Patricia, Manager <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0013846 PRO518341 SCO01 12/08/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />