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° ur I Environmental Health Department <br /> SAN-6-JOAQU <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: KUNG FU TEA, 1201 W MAIN ST, RIPON 95366 <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:Rest room hand sink is lacking soap, paper towels and their dispensers. Provide soap and paper towels <br /> from dispensers mounted the walls before operating. <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: Required Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 128°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Non adjustable hand sink--Rest room--105.00°F 1 d cooler--Front--39.00°F <br /> Walk in cooler--41.00°F 2 D reach in cooler/unde prep table--Front--40.00°F <br /> Mop sink--125.00°F Front hand sink--109.00°F <br /> NOTES <br /> Change of ownership. <br /> Blenders and automatic cup sealer are commercial grade( NSF). <br /> As per operator, he will not use the walk in freezer. <br /> Seats 20 <br /> Okay to operate. Obtain permit prior operating your business. <br /> PE1623 $350 to be paid for the new permit. <br /> 5021 form provided to new operator to update. <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: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0020947 SR0085812 SCO01 11/08/2022 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />