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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtoWSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: ROUND TABLE PIZZA, 15124 HARLAN RD , LATHROP 95330 <br /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:Clean and sanitize all non-food contact surfaces prior to opening. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:Toilet paper dispensers lack toilet paper. Properly fill toilet paper dispensers prior to opening. <br /> CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 131 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> hand sinks(x 5)--100.00°F 1 door/2 drawer Delfield pizza prep--39.00°F <br /> 2 drawer Delfield--41.00°F mop sink--131.00°F <br /> 2 door Perlick keg--39.00°F 1 door Delfield--39.00°F <br /> 1 door Delfield freezer--30.00°F 2 door Delfild pizza prep--39.00°F <br /> walk-in cooler--38.00°F 3 comp sink--131.00°F <br /> 1 comp prep sink--120.00°F <br /> NOTES <br /> 21-50 seats <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($355) <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: Kamal Singh, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0020204 SR0079902 SC523 07/16/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />