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SAN <br /> J O a Q U I N Environmental Health Department <br /> C0U ;N i y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: CLEMENTS COUNTRY MARKET, 18830 E HWY 88 , CLEMENTS 95227 <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:The restroom door was being kept open using rubber bands. Keep restroom door closed when not being <br /> used. Corrected on site. <br /> The customer restroom toilet paper dispenser was empty, observed toilet paper roll on handrail. Provide toilet paper in <br /> dispenser today. <br /> CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Anjandeep Bajwa Expiration Date:July 03,2024 <br /> Warewash Chlorine(Cl): 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 /> prep sink--118.00°F produce open air display--48.00°F <br /> 1 dr True display--39.00°F deli open air display--40.00°F <br /> 2 dr Turbo Air reach-in w/prep top deli--33.00°F hand sink--deli--100.00°F <br /> mop sink--127.00°F 2 dr chicken display warmer--137.00°F <br /> deli counter display--34.00°F 3 comp sink--120.00°F <br /> 1 dr Starbucks display--deli--41.00°F hand sink--employee restroom--101.00°F <br /> walk-in--40.00°F hand sink--customer restroom--104.00°F <br /> NOTES <br /> Routine inspection. <br /> Sanitizer bucket-200 ppm quat. <br /> Discussed report with Tania Gill, employee. <br /> No signature captured. <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 /> FA0006549 PR0505118 SCO01 01/27/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 3 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 />