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Time In: 9.56 am <br /> Time Out: 10:36 am <br /> �P.Q•��k. P San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �•.• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: FF50 Date: 03/08/2018 <br /> Address: 1110 W KETTLEMAN LN , LODI 95240 <br /> Requestor: TRISTA JACKSON, FF50 Telephone: (209)323-9836 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0078808 <br /> Inspection Type: 061 -CONSULTATION <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 foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:Paper towels are not in dispenser in restroom. Provide single use paper towels in dipenser. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(f)) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Mop sink in room under stairs, currently does not dispense water. <br /> Provide so that mop sink has hot and cold water within 2 days. <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 /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 comp--126.00°F hand sink--next to 3 comp--115.00°F <br /> hand sink--restroom--127.00°F mop sink-- <br /> NOTES <br /> Ok to issue permit once fee is paid. <br /> Operator to return to 1868 E Hazelton and pay fee. <br /> PE 1623 <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: Trista Jackson, Owner <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0023664 SR0078808 SC061 03/08/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />