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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: DAMERON HOSPITAL, 525 W ACACIA ST, STOCKTON 95203 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Food prep sink at front cooks line lacks hot water. Hot and cold water shall be available from all sinks. <br /> Repair by 2 weeks. <br /> Water leak from behind wall next to hand sink at front cooks line.Wall and floor base are damaged. Leak shall be repaired. <br /> Once leak is repaired,wall shall be properly repaired and painted with semi gloss paint. Base tiles and rubber coving shall <br /> be sealed into wall and wood cabinet. Correct by 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:Several kitchen floor tiles and floor sinks lack grout. Re-grout areas that need grout by 2 weeks. <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: Crystal Deal Expiration Date:April 14,2026 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 135°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 130°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> fogel--front/cooks line--48.00°F 4 drawer prep--back--34.00°F <br /> 2 door true--customer--41.00°F chicken gravy--warmer--161.00°F <br /> dairy walk in--back--37.00°F 2 door prep--front/cooks line--41.00°F <br /> 4 drawers--cooks line--41.00°F 2 door victory--front/cooks line--151.00°F <br /> produce walk in--back--41.00°F beef gravy--warmer--152.00°F <br /> 1 door imbera--customer--41.00°F true--back--49.00°F <br /> NOTES <br /> No comment entered. <br /> FA0002864 PRO160488 SCO01 10/06/2021 <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 <br />