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San Joaquin County
<br /> 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
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<br /> Food Program Service Request Inspection Report
<br /> Facility Name and Address: SUPER FISH POKE AND TEA BAR, 5052 N WEST LN , STOCKTON
<br /> #27 Food Protected from Contamination
<br /> OBSERVATIONS:The space between the front hand sink and the work table is less than 24". The back hand sink, prep
<br /> sink, and 3 comp sink are positioned next to each other with no spacing. Provide a splash guard for the front hand sink and
<br /> a splash guard on both sides of the prep sink.The splash guard must be at least 6"high.
<br /> CALCODE DESCRIPTION:All food shall be separated and protected from contamination. (113984(a, b, c,d, t), 113986, 114060,
<br /> 114067(a, d, e,j), 114069(a,b), 114077, 114089.1 (c), 114143(c))
<br /> #34 Warewashing Facilites Maintained
<br /> OBSERVATIONS:Provide sanitizer test strips.
<br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and
<br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a),
<br /> 114101.1, 114101.2, 114103, 114107, 114125)
<br /> #43 Toilet Facilites Clean/Supplied/Maintained
<br /> OBSERVATIONS:Provide a self closing device for both the men and women's restroom.
<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 /> #45 Floors,Walls, Ceilings; Clean and Maintained
<br /> OBSERVATIONS:Facility has rubber base in the food prep area, restrooms, and the mop sink area. Replace with slim foot
<br /> tile in 2 weeks.There will be no open foods in the office. Rubber base is ok in that room.
<br /> There is some bare wood around the mop sink and in the front food prep station. Paint with semi gloss paint or seal it.
<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 /> 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: °F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F
<br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS
<br /> SR0077504 SC523 11/01/2017
<br /> EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program Service Request Inspection Report
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