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S ` ` , J O A Q U I N Environmental Health Department <br /> C0U "ATY <br /> Food Program Official Inspection Report <br /> Facility Name and Address: JACK IN THE BOX#3408,4989 S HWY 99 , STOCKTON 95215 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The 3-compartment sink currently contains a leak underneath and the water leaks into a bucket. Repair <br /> or replace the plumbing to ensure no leaks occur during ware-washing. Correct within 30 days. <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 /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:There is a large amount of ice formation on the floor inside of the walk in freezer. The general manager <br /> stated that the door does not close properly,thus gauzing condensation to form more than usual and freezing over on the <br /> floor. Remove and clean all the ice formation to avoid a slip-hazard. Correct immediately. <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: Dulce H.Rubalcava Expiration Date:July 21,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 102°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 Dr Bev-Air prep cooler--Prepartion area--37.00°F Seasoned fries--Hot hold--191.00°F <br /> Mop sink--120.00°F Eggs and cheese cooler--2 Dr McCall cooler/freezer#1 --38.00° <br /> F <br /> 1 Dr Bev-air cooler--Front counter--37.00°F French Fries--hot hold--187.00°F <br /> Eggrolls and hash browns--2 Dr McCall cooler/freezer#2-- <br /> 40.00°F <br /> NOTES <br /> Routine inspection. <br /> Official reports and food certifications on site. <br /> Sanitizer buckets: 200 PPM. <br /> Official inspection report emailed. <br /> FA0002742 PRO163325 SCO01 07/09/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />