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=t SKJ OAQ U I N Environmental Health Department <br /> ��•(` .� r <br /> --COUNTY Time In: 9:10 am <br /> Time Out: 10:00 am <br /> Food Program Service Request Inspection Report <br /> Name of Facility: KUNG FU TEA Date: 03/02/2020 <br /> Address: 4663 PACIFIC AVE, STOCKTON 95250 <br /> Requestor: TYSON TRAN, TVT CONSTRUCTION Telephone: <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0081249 <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: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> 2 door atosta--41.00°F 2 door atosta--41.00°F <br /> 2 door atosta prep--41.00°F <br /> NOTES <br /> Unable to issue permit at this time. Work on the following conditions for Final inspection: <br /> 1. Ceiling tiles in kitchen are currently absorbent. Replace with vinyl coated tiles. <br /> 2. Rest room door shall provided with a self closing device for door. <br /> 3. Mop sink and 3 comp sink shall be bolted and sealed to wall with caulk. <br /> 4. Gap under hand sink's drain line shall be sealed. <br /> 5. Soap and paper towel dispensers filled with products. <br /> Equipment: Rheem 57 gallon 70,000 BTU water heater, 3 comp sink, mop sink, 2 hand sinks, 2 comp prep sink, 1 rest room <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 Tyson bY: Name and Title: Tran, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> SR0081249 SC523 03/02/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />