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SAN J 0 A Q , + I ` , Environmental Health Department
<br /> Food Program Official Inspection Report
<br /> Facility Name and Address: ROUND TABLE PIZZA, 253 SPRECKELS AVE, MANTECA 95336
<br /> #1 Demonstration of Knowledge
<br /> OBSERVATIONS:9 food handler cards are not available on site. Provide the food handler cards to gfahmy@sjgov.org
<br /> within 1 week.
<br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their
<br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an
<br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1,
<br /> 2011 shall obtain a Food Handler Card within 30 days(113948).
<br /> #34 Warewashing Facilites Maintained
<br /> OBSERVATIONS:QUAT test strips are expired and Chlorine test strips for the dish washer is not available. Provide QUAT
<br /> and chlorine test strips in 3 days.
<br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and
<br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a),
<br /> 114101.1, 114101.2, 114103, 114107, 114125)
<br /> #35 Equipment/Utensils Approved and in Good Repair
<br /> OBSERVATIONS:Rt side and middle prep coolers at the prep line, are lacking handles for the top lids. Provide handles in 2
<br /> weeks.
<br /> Rt side prep cooler has a broken top lid from hinges. Repair in 2 weeks.
<br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment
<br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5,
<br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182)
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:Pipe, draining the prep sink, is broken and laid on the floor. Fix pipe today.
<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: Andrea Davis Expiration Date: March 13,2022
<br /> Warewash Chlorine(Cl): 0 ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 104°F
<br /> FA0018244 PR0526931 SCO01 10/06/2020
<br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD
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