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Environmental Health Department
<br />Facility Name and Address: H & M FOOD STORE, 2501 JACKSON AVE, ESCALON 95320
<br />Food Program Official Inspection Report
<br /> #36 Equipment/Utensils/Linens: Proper Storage / Use
<br />OBSERVATIONS: I observe 2 boxes stored on the right drain board of the ware wash sink. Remove unnecessary items
<br />from the ware wash sink today.
<br />2 CO2 tanks are not secured. Secure CO2 tanks today.
<br />CALCODE DESCRIPTION: All clean and soiled linen shall be properly stored non-food items shall be stored and displayed separate from
<br />food and food-contact surfaces. (114185.3 - 114185.4) Utensils and equipment shall be handled and stored so as to be protected from
<br />contamination. (114074 - 114075, 114081, 114119, 114121, 114161, 114178, 114179, 114083, 114185, 114185.2, 114185.5)
<br /> #41 Plumbing Maintained; Approved Back Flow Device
<br />OBSERVATIONS: Pipe, draining the ice maker in the floor sink, is lacking air gap. Provide air gap minimum 1 inch off the
<br />floor sink 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 /> #45 Floors, Walls, Ceilings; Clean and Maintained
<br />OBSERVATIONS: I observe card boards and debris on the floor underneath the storage shelves of the walk in cooler.
<br />Clean floor in 1 week and as needed.
<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 />Chlorine (Cl):
<br />Name on Food Safety Certificate:Expiration Date:
<br />ppmQuaternary Ammonia (QA):
<br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F
<br />Hand Sink Temp:º F
<br />OBSERVATIONS
<br /> 122
<br /> 122
<br />N/A
<br />OVERALL INSPECTION NOTES AND COMMENTS
<br />Walk in cooler/ dairy -- 40.00º F Hand sink -- Rest room -- 104.00º F
<br />2 CO2 tanks -- 40.00º L 2 sliding D 7up cooler -- 41.00º F
<br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS
<br />NOTES
<br />Back 3 comp sink is used as hand sink as well.
<br />Prepackaged food, soda and coffee on site.
<br />Page 2 of 3EHD 16-23 Rev. 09/16/2020 Food Program OIR
<br />FA0000013 PR0161598 SC001 12/20/2021
<br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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