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SAN 4` " J O a Q U I N Environmental Health Department
<br /> C 0 U 11-11 i `l
<br /> Food Program Official Inspection Report
<br /> Facility Name and Address: BUBBLE LEAF, 526 W BENJAMIN HOLT DR, STOCKTON 95207
<br /> #33 Nonfood Contact Surfaces Clean
<br /> OBSERVATIONS:The following surfaces are unsanitary and need detail cleaning-correct immediately:
<br /> 1.Shelves underneath cashier station
<br /> 2.All shelves at work stations
<br /> 3. Exterior of auto fry
<br /> 4. Interior and exterior of 1 door tall true cooler
<br /> 5. Exterior and interior door of tall true freezer
<br /> 6. Prep sink
<br /> 7. 3 comp sink
<br /> 8. Ect
<br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c))
<br /> #35 Equipment/Utensils Approved and in Good Repair
<br /> OBSERVATIONS:Several food and other storage containers are not clean. Clean/sanitize,weekly.
<br /> Interior of ice machine has mold. Clean and sanitize, immediately.
<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 /> #36 Equipment/Utensils/Linens: Proper Storage/Use
<br /> OBSERVATIONS: Ice scoop is stored on top of the ice machine. Store in a large enough container to hold it upright or
<br /> sideways.
<br /> CALCODE DESCRIPTION:All clean and soiled linen shall be properly stored non-food items shall be stored and displayed separate from
<br /> food and food-contact surfaces. (114185.3- 114185.4) Utensils and equipment shall be handled and stored so as to be protected from
<br /> contamination. (114074-114075, 114081, 114119, 114121, 114161, 114178, 114179, 114083, 114185, 114185.2, 114185.5)
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:Drain line underneath ice bin is unattached. Reattach by 1 week.
<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 /> FA0012270 PR0515659 SCO01 12/17/2020
<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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