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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: WATERLOO GUN AND BOCCE CLUB,4343 ASHLEY LN, STOCKTON 95212
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:The kitchen dishwasher rinse sink was clogged. Clear blockage today.
<br /> Observed leaking pipe under kitchen dishwasher. Use 3 comp sink for warewashing until repaired. Repair within 2 weeks.
<br /> Observed no air gap between discharge pipes and floor sinks in bar area for beer taps and 3 comp sink. Provide 1 in.
<br /> minimum air gap within 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 /> #44 Premises: Clean/Litter Free;Vermin-Proof
<br /> OBSERVATIONS:The kitchen back screen door had holes and gaps. Provide well fitting screen door, keep air curtain on
<br /> when back door is open,or keep back door closed when not in use. Correct today.
<br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen
<br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be
<br /> kept vermin proof. (114067 Q), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2,
<br /> 114259.3, 114279, 114281, 114282)
<br /> #45 Floors,Walls, Ceilings; Clean and Maintained
<br /> OBSERVATIONS:Observed debris on floor in kitchen and walk-in cooler. Clean today and maintain clean.
<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: Ralph Odell Expiration Date: March 28,2022
<br /> Warewash Chlorine(Cl): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F
<br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS
<br /> walk-in--kitchen--44.00°F hand sink--male restroom--100.00°F
<br /> mop sink--kitchen warewash area--120.00°F hand sink--bar--100.00°F
<br /> hand sink--female restroom--100.00°F 2 comp sink--kitchen--120.00°F
<br /> 3 dr True reach-in--bar--41.00°F 3 comp sink--kitchen warewash area--120.00°F
<br /> hand sink--kitchen--100.00°F
<br /> FA0021325 PRO161822 SCO01 11/10/2021
<br /> EHD 16-23 Rev.09/16/2020 Page 3 of 4 Food Program OR
<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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