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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GreoWSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: TRACY SPORT BAR, 230 ADOBE LN ,TRACY 95304 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The hand sink at the bar lacks a faucet. Immediately install a faucet at this hand sink. hand sink must <br /> provide both hot and cold water. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 117°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> back of the house hand sink--103.00°F mop sink--117.00°F <br /> bar 3 door--40.00°F bar 3-comp--117.00°F <br /> restroom hand sinks--102.00°F back of the house 3-comp--117.00°F <br /> bar 2 door True--33.00°F <br /> NOTES <br /> chlorine sanitizer available/test strips needed <br /> Facility has bulk CO2/properly secured/outdoor fill <br /> OK to permit as a 1621 once the annual permit fee is paid ($270) <br /> Permit effective 1-1-2022 <br /> Fill out 5021 form (provided to Jhon at inspection), provide a copy of your photo ID, and make annual permit fee payment <br /> ASAP <br /> No signature obtained <br /> Report typed a the office 3:28-3:42pm <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: discussed w/Jhon M, representative <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0023585 SR0084729 SC061 01/14/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />