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SAN <br /> J O a Q U I N Environmental Health Department <br /> C0UiN i Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: DONUT SHACK, 2245 JACKSON ST, ESCALON 95320 <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS: I observe temporary soap bottle with pump and paper towels roll at the rest room hand sink. Provide <br /> paper towels and soap from dispensers mounted to the wall in 2 weeks. <br /> CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Chamroeun Hoeut Expiration Date:September 16,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 126°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--rest room 103.00°F 2 d Dukers cooler--Dining area--41.00°F <br /> NOTES <br /> Grandfathered 2 comp sink is used as hand sink as well. <br /> Bleach and chlorine test strips are on site. <br /> No mop sink on site and the waste water is disposed in the floor sink, underneath the 2 comp sink in the back. <br /> Disposable cups and lids are placed on a table, in the dining area by the coffee pots. I advised the person in charge to store <br /> lids and cups behind the counter as one of recommended precautions to fight the spread of COVID-19. <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: Name and Title: <br /> EH Specialist: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0000372 PRO161381 SCO01 12/10/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 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 <br />