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SANOAQU I N Environmental Health Department COUNTY IY GrtoWSS grow$ here, Food Program Service Request Inspection Report Facility Name and Address: LA MICHOCANA PLUS, 3081 N TRACY BLVD , TRACY #33 Nonfood Contact Surfaces Clean OBSERVATIONS:Clean and sanitize all nonfood contact surfaces. CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) #34 Warewashing Facilites Maintained OBSERVATIONS:Obtain chlorine or quat sanitizer test strips(must be the same type as the sanitizer). CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a), 114101.1, 114101.2, 114103, 114107, 114125) #41 Plumbing Maintained;Approved Back Flow Device OBSERVATIONS:The dipper well drain shall be indirectly plumbed to a floor sink. CALCODE DESCRIPTION: The potable water supply shall be protected with a backflow or back siphonage protection device,as required by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) #43 Toilet Facilites Clean/Supplied/Maintained OBSERVATIONS:Provide a toilet paper dispenser in the toilet room. Install a self-closing devise on the toilet room door. CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) OVERALL INSPECTION NOTES AND COMMENTS OBSERVATIONS Name on Food Safety Certificate: needed Expiration Date: Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 1281 F Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F FOOD ITEM--LOCATION--TEMP°F--COMMENTS restroom hand sink-- 106.00°F front of the house hand sink--120.00°F 3 comp sink--128.00°F back of the house hand sink--120.00°F 1 comp prep sink--127.00°F mop sink--129.00°F SR0083143 SC523 03/31/2021 EHD 16-23 Rev.09/16/2020 Page 2 of 3 Food Program Service Request Inspection Report