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Time In: 3:10 pm <br /> Time Out: 3:55 pm <br /> oPa"tN. San Joaquin County <br /> z� Environmental Health Department <br /> W' " _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> �l FOR <br /> Food Program Official Inspection Report <br /> Name of Facility: RITE AID#6004 Date: 11/19/2015 <br /> Address: 900 N MAIN ST,MANTECA 95336 <br /> Owner/Operator: THRIFTY PAYLESS, INC Telephone: (717) 761-2633 <br /> Program Element: 1618 - RETAIL MKT >2000 SQ FT (PREPKGD/ LTD PREP) <br /> Inspection Type: ROUTINE INSPECTION - Operating Permit <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 /> #41 Plumbing Maintained; Approved Back Flow Device <br /> OBSERVATIONS:The men's restroom toilet is out of order. Per Manager Rich, a plumber as been called. <br /> CAL CODE 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: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 115°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> 3 door Pepsi True 38.00°F 1 door Pepsi True--37.00°F <br /> 2 door Coke True -40.00°F 1 door Coke True -41.00° F <br /> 2 door So-Be--45.00° F--no phf-drinks 3 door MasterBilt 37.00°F <br /> mop sink-- 120.00°F 2 door MasterBilt--41.00°F- no phf-beer <br /> 3 door MasterBilt--41.00°F-- no phf- beer 3 door MasterBilt -43.00° F- no phf-beer <br /> restrooms-- men's and women's-- 115.00° F 2 door 7-Up True--43.00°F <br /> 2 door MasterBilt--40.00°F <br /> NOTES <br /> Pre-packaged food only. <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: E Name and Title: Richard Maggard, Store Manager <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0001395 PRO161207 SCO01 11/19/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />