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v <br /> SANJOAQUIN <br /> Environmental Health Department <br /> Time In: 9-45 am <br /> Time Out: 10:45 am <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: BUBBLES N BIRDS Date: 06/11/2019 <br /> Address: 117W ELM , LODI 95240 <br /> Requestor: LISA GRIJALUA, BUBBLES N BIRDS Telephone: (267)975-9851 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0080626 <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:Hand sink in the dining area is lacking of the soap and paper towels dispensers. Provide today. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair.(113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment.(113953, 113953.1, 11406 7(0) <br /> #36 Equipment/Utensils/Linens: Proper Storage/Use <br /> OBSERVATIONS:3 CO2 tanks are unsecured. Secured tanks today.Corrected on site. <br /> CALCODE DESCRIPTION:All clean and soiled linen shall be properly stored non-food items shall be stored and displayed separate from <br /> food and food-contact surfaces. (114185.3-114185.4) Utensils and equipment shall be handled and stored so as to be protected from <br /> contamination. (114074-114075, 114081, 114119, 114121, 114161, 114178, 114179, 114083, 114185, 114185.2, 114185.5) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Pipe,draining the prep sink, is lacking air gap. Provide air gap at least 1 inch off the floor sink. <br /> Hot handle of the mop sink is missing. Repair. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Jeffrey Holt Expiration Date:April 24,2024 <br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 IF <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 127°F <br /> FOOD ITEM--LOCATION—TEMP°F--COMMENTS <br /> FAD013898 SR0080626 SCO61 06/11/2019 <br /> EHD 16.23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />