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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtoWSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: TAQUERIA&BIRRIERIA LA DONA, INC.,400 W ELEVENTH ST , TRACY 95376 <br /> #27 Food Protected from Contamination <br /> OBSERVATIONS: Install a splash guard between the 1 comp food prep sink and the 3 comp warewash sink. <br /> Install prior to opening. <br /> CALCODE DESCRIPTION:All food shall be separated and protected from contamination. (113984(a, b, c,d, f), 113986, 114060, <br /> 114067(a, d, e,j), 114069(a,b), 114077, 114089.1 (c), 114143(c)) <br /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:Clean and sanitize all nonfood contact surfaces prior to opening. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS:Obtain chlorine or quat sanitizer test strips prior to opening. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed 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: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 comp sink--120.00°F walk-in cooler--0.00°F <br /> restroom hand sinks--100.00°F 3 door Atosa prep--36.00°F <br /> walk-in cooler--39.00°F 1 comp--120.00°F <br /> 1 door Atosa prep--35.00°F <br /> NOTES <br /> facility has existing direct plumbing <br /> OK to permit as a 1624 once the annual permit fee is paid ($355) <br /> 1 comp prep sink shall be used as a temporary hand sink until the new hand sink is installed. <br /> CO2 usage/amount was discussed. Facility is planning on using 20#cylinders(no bulk) <br /> If the drive thru window is used, a forced air fan is required <br /> No signature obtained/COVID-19 <br /> FA0003077 SR0082197 SC061 12/03/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 3 Food Program Service Request Inspection Report <br />