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: Raleys#311, 1280 LATHROP RD,ADDISON 95336
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:Majority of the ware wash sinks in all departments, have loose water faucets. Fix water faucets in 2
<br /> weeks.
<br /> Non adjustable hand sink in Produce Department, has loose cold and hot water pedals. Repair/replace pedals in 2 weeks.
<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 /> #45 Floors,Walls, Ceilings; Clean and Maintained
<br /> OBSERVATIONS:Floor, underneath fryers station in Deli Department, underneath prep tables in Bakery Department, Deli
<br /> Department walk in cooler, Dairy walk in cooler,floral/deli walk in cooler, between the Deli Department hot hold and display
<br /> cooler, have debris,food debris and grease. Detail clean floor and hard to reach corners today and as needed.
<br /> Wall, behind front oven at the Deli Department, has grease accumulation. Clean in 2 weeks and as needed after.
<br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor
<br /> surfaces, other than the customer service areas, shall be approved, smooth,durable and made of nonabsorbent material that is easily
<br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original
<br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d),
<br /> 114266, 114268, 114268.1, 114271, 114272)
<br /> OVERALL INSPECTION NOTES AND COMMENTS
<br /> OBSERVATIONS
<br /> Name on Food Safety Certificate: Shelley Stroudgully Expiration Date:April 07,2022
<br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 103°F
<br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS
<br /> FA0000876 PRO162931 SCO01 03/09/2021
<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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