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SAN ]OAQ U I N Environmental Health Department <br /> Q U T Time In: 9.45 am <br /> Time Out: 10:23 am <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: DUTCH BROTHERS COFFEE Date: 11/25/2019 <br /> Address: 1505 E HAMMER LN , STOCKTON 95210 <br /> Requestor: HEIDI,ACUTE CONSULTING INC Telephone: (925)818-4132 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0079699 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> 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: 124°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Mop sink-- 124.00°F Hand sink--Employee rest room--103.00°F <br /> Walk in cooler--41.00°F <br /> NOTES <br /> Final inspection. <br /> Floors, base coving,walls and ceiling are complying with codes. <br /> Hand sink is provided with splash guard. <br /> 3 comp sink is provided with 2 metal drain boards. <br /> The 2 drive thru windows are self closing. Back door is self closing. <br /> Okay to operate. Obtain permit prior operating business. <br /> PE1613$350 to be paid for new permit. <br /> Pink and green forms need to be filled out. <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: Cody Hawkins, Superintendent <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> SR0079699 SC523 11/25/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />