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S A N _J OAQ I I I N Environmental Health Department <br /> COUNTY IV <br /> `��,F❑ Greotness grows here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: JACK IN THE BOX#486, 920 E HAMMER LN , STOCKTON 95210 <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed damaged floor tile under fryer. Replace within 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: Jean Maas Expiration Date: December 10,2024 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in--40.00°F hand sink--left restroom--100.00°F <br /> chicken patty/hamburger patty(hot hold)--warmer drawer-- fried chicken(hot hold)--warmer drawer--145.00°F <br /> 169.00°F <br /> CO2 cylinders--200.000 L--4 x 50 Ib 1 dr Randell reach-in--near fryers--41.00°F <br /> hand sink--right restroom--100.00°F 3 comp sink--120.00°F <br /> 2 dr Beverage Air reach-in--under front counter--40.00°F 1 dr Beverage Air reach-in--behind front counter--41.00°F <br /> soft serve(cold hold)--soft serve machine--24.00°F hand sink--kitchen--100.00°F <br /> mop sink--121.00°F CO2 tank--450.000 L <br /> NOTES <br /> Change of ownership inspection. <br /> Quat and chlorine test strips available. <br /> Sanitizer buckets-200 ppm quat. <br /> Discussed report with Jean Maas, Manager. <br /> No signature captured <br /> Okay to issue permit once permit fee is paid and 5021 form is updated. <br /> PE 1625,fee$376 <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: <br /> EH Specialist: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0002871 SR0085516 SC061 07/18/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />