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SAN <br /> J O a Q U I N Environmental Health Department <br /> C0U ;N i y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: PEACE LOVE SHAVE ICE, 132 BUTTON AVE, MANTECA 95336 <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:Hand sink, in rest room, is lacking paper towels. Provide paper towels today. Corrected on site. Person <br /> in charge provided temporary paper towels roll till proper paper towels provided from dispenser. <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: Yvonne Falduti Expiration Date: November 04,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): 150 ppm Hand Sink Temp: 103°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Rest room--103.00°F 1 D upright cooler--41.00°F <br /> Mop sink--125.00°F 2 D Bev Air cooler/Dairy--Under Espresso machine--45.00°F <br /> NOTES <br /> Facility is using QUAT tablets as sanitizer and QUAT test strips are available. <br /> Sanitizer bucket is et up with QUAT 200 ppm. <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 /> FA0018466 PR0527267 SCO01 12/11/2020 <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 />