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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CABANA LOUNGE, 1124 W YOSEMITE AVE , MANTECA 95337 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The drain pipes at the bar floor sink do not have a 1-inche air gap. Provide a 1-inch air gap. Correct <br /> within 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: Expiration Date: <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk in cooler--39.00°F mop sink 134.00°F <br /> hand sinks--bar--108.00°F prep sink 168.00°F <br /> True prep cooler--38.00°F 3 dr True 41.00°F <br /> hand sink--rr--108.00°F 3 comp sink--bar--150.00°F <br /> NOTES <br /> Change of ownership consultation. <br /> There are 100+seats. <br /> New owner to complete change of ownership form (5021)and pay for annual permit fee(1626, $425). <br /> Currently,facility is without a valid health permit. <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: Ernie Salgado, new owner <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> FA0019536 SR0080507 SC061 04/23/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />