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San Joaquin County
<br /> Environmental Health Department
<br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232
<br /> .. �� Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.or-/q ehd
<br /> 4<<F 6RN
<br /> Food Program Service Request Inspection Report
<br /> Facility Name and Address: FIRST BAPTIST CHURCH (COMMUNITY CENTER), 33 W ALPINE AVE , STOCKTON
<br /> #41 Plumbing Maintained; Approved Back Flow Device
<br /> OBSERVATIONS: Faucet for mop basin is damaged. Provide new faucet with a back flow prevention device.
<br /> Drain lines for ice machine, expresso machine, and water filter drop into floor sinks. Raise line so as to provide a one inch
<br /> air gap.
<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 /> #45 Floors,Walls, Ceilings; Clean and Maintained
<br /> OBSERVATIONS:Wall were faucet for mop basin is located is exposed(damaged).Wall shall be replaced and covered
<br /> with a fiber glass panel. Provide slim foot base tiles around basin.
<br /> Attic access lacks cover (above large cooler). Provide cover.
<br /> CALCODE DESCRIPTION: The walls/ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor
<br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily
<br /> cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original
<br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d),
<br /> 114266, 114268, 114268.1, 114271, 114272)
<br /> #47 Signs Posted; Last Inspection Report Available
<br /> OBSERVATIONS: Provide in rest rooms hand wash signage.
<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(I 1395a5)(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 Califomia(114094).
<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 121 °F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 114°F
<br /> FOOD ITEM --LOCATION --TEMP° F --COMMENTS
<br /> 2 door Ig cooler--32.00°F 2 door delfield--38.00°F
<br /> NOTES
<br /> Equipment AO Smith 76,000 BTU water heater, hand sink, mop basin, 3 comp sink, dish washer(not used), spray down sink
<br /> SR0080286 SC061 03/12/2019
<br /> EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program Service Request Inspection Report
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