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SAN J 0 A Q U I N Environmental Health Department
<br /> CC)U NTY
<br /> Food Program Official Inspection Report
<br /> Facility Name and Address: CHICK-FIL-A, 1405 E YOSEMITE AVE, MANTECA 95336
<br /> #34 Warewashing Facilites Maintained
<br /> OBSERVATIONS:The thermo tab of the high temp dish washer is not available on site. Provide tab or thermo labels in 1
<br /> week.
<br /> Hand sink by the prep sink, is not properly secured to the wall. Secure sink in 1 week.
<br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and
<br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a),
<br /> 114101.1, 114101.2, 114103, 114107, 114125)
<br /> #35 Equipment/Utensils Approved and in Good Repair
<br /> OBSERVATIONS: 1 D freezer by primary fryer station#1 and walk in freezer, have ice build up. Repair units in 2 weeks.
<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 /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:Front non adjustable hand sink and prep sink have loose water faucets. Fix faucets in 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 /> OVERALL INSPECTION NOTES AND COMMENTS
<br /> OBSERVATIONS
<br /> Name on Food Safety Certificate: Micah Payton Expiration Date: November 16,2024
<br /> Warewash Chlorine(Cl): ppm Heat: 180°F Water/Hot Water Ware Sink Temp: 145°F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 113°F
<br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS
<br /> FA0025887 PR0545696 SCO01 05/20/2021
<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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