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SANOAQU I N Environmental Health Department <br /> COU NI T Y IY Time In: 2.15 pm <br /> Time Out: 2:40 am <br /> Greorness grow$ here, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: ROUND TABLE PIZZA Date: 10/30/2019 <br /> Address: 15124 S HARLAN RD , LATHROP 95330 <br /> Requestor: RTP 1040, INC., ROUND TABLE PIZZA Telephone: (510)676-6160 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0081328 <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:One person shall obtain the 5 year Food Safety Certificate. Provide a copy to Kadeanne Linhares <br /> (klinhares@sjgov.org)by 60 days. <br /> All employees shall obtain the 3 year Food Handler Card within 30 days of hire (if not already obtained). Maintain copies of <br /> all employee's FHC on site at all times. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): 100 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 /> 1 door Delfield--35.00°F 2 door Perlick keg cooler--34.00°F <br /> restroom hand sinks--100.00°F 2 door Delfield prep--40.00°F <br /> mop sink--120.00°F walk-in cooler--40.00°F <br /> 3 comp--120.00°F middle hand sink--100.00°F <br /> prep sink--100.00°F back of house hand sink--100.00°F <br /> 1 door Delfield freezer--6.00°F 1 door/2 drawer Delfield prep--39.00°F <br /> front of house hand sink--100.00°F <br /> NOTES <br /> OK to permit as a 1624 once annual permit fee is paid. <br /> Return to 1868 E Hazelton Ave. in Stockton to pay the annual permit fee of$355 <br /> Effective Nov 1 , 2019 <br /> FA0020204 SR0081328 SC061 10/30/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />