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oP4�tN. c San Joaquin County <br /> Environmental Health Department <br /> ` 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sagov.org/ehd <br /> qC1 FORK <br /> Food Program Official Inspection Report <br /> Facility Name and Address: PETES PLACE LLC, 9355 W HWY 4 , STOCKTON 95206 <br /> #41 Plumbing Maintained; Approved Back Flow Device <br /> OBSERVATIONS: Mop sink's faucet lacks anti siphon cap. Install a new faucet by 3 months. <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 /> #43 Toilet Facilites Clean/Supplied/ Maintained <br /> OBSERVATIONS:Ventilation fans in both rest rooms are not working. Install new ones or replace by 1 month. <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: Rest room walls have residue. Detail clean weekly. <br /> Kitchen lacks one base tile. Replace by 1 month. <br /> Dry storage floors have debris and possible old rodent droppings. Detail clean by 1 week. Set up traps for rodents. <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: Juan Flores Expiration Date: May 12.2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> 2 door prep--kitchen--40.00°F beer walk in--back--40.00°F <br /> beans--water bath-- 145.00°F walk in--back--40.00°F <br /> rice--water bath-- 140.00°F 2 door maximum--kitchen--41.00°F <br /> NOTES <br /> No comment entered. <br /> FA0002896 PRO160772 SCO01 03/31/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program OIR <br />