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Time In: 12:40 p_m <br /> Time Out: 1:39 pm <br /> oP��ttr. San Joaquin County <br /> :i Environmental Health Department <br /> W , ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 4�IFOR� <br /> Food Program Service Request Inspection Report <br /> Name of Facility: Date: 08/21/2015 <br /> Address: 2986 W GRANT LINE RD,TRACY <br /> Requestor: ROBERT VAN HULLE, VAN HULLE ASSOCIATES Telephone. (925) 944-9449 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0071410 <br /> Inspection Type: 523- PLAN CHECK(3 hr minimum) <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: Install soap and paper towel dispensers for both front hand sinks. Correct prior to opening. <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: Hand sink has a constant drip. Repair prior to opening. <br /> CAL CODE 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: Terry McHale Expiration Date:January 22,2019 <br /> Warewash Chlorine(CD: ppm Heat: °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 /> Everst(2-door)--39.00°F Everst(prep)--41.00°F <br /> Prep unit--37.00°F 3 door(prep)--37.00°F <br /> 6 drawers--39.00°F Everst(1-door)--41.00°F <br /> 3-door(prep)--40.00°F Walk-in--41.00°F <br /> Everst(2-door)--41.00°F 4 drawers--40.00°F <br /> NOTES <br /> Ok to permit once fees have been paid, return to EHD and pay for permit. <br /> PE 1626 $347 <br /> D/W-100ppm chlorine <br /> SR0071410 SC523 08/21/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />