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° r I Environmental Health Department <br /> SAN-6-JOAQU <br /> CaLJT <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: LA PETITE VINE, 105 W MAIN ST , RIPON <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:Rest room hand sink has temporary soap bottle with pump. Provide soap from dispenser mounted to the <br /> wall before operating. <br /> Rest room door is not self closing. Provide self closing door 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 /> #44 Premises: Clean/Litter Free;Vermin-Proof <br /> OBSERVATIONS:Back door is not self closing. Provide self closing back door before operating. <br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 Q), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <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: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Mop sink-- 125.00°F Open case cooler--Sales floor--41.00°F <br /> Prep sink--122.00°F Lt 2 D cooler--41.00°F <br /> Hand sink--Rest room--101.00°F Rt 2 D cooler--41.00°F <br /> NOTES <br /> Final inspection. <br /> Water heater with 40,000 BTU installed. <br /> Splash guards provided to prep sink, 3 comp sink and hand sink. <br /> Floor at the back kitchen and rest room, is tiles. Base used is Schluter,Walls are FRP and semi gloss paints. <br /> Prep sink, 3 comp sink and mop sink, draining with indirect connections to the floor sink and air gaps are provided. <br /> 3 comp sink installed is a bar size. Install the appropriate size with compartments and drain boards are large enough to <br /> accommodate immersion of the largest equipment and utensils before operating. <br /> Okay to operate after new 3 comp sink is installed and evidence of correction is sent to Environmental Health Department. <br /> Obtain permit prior operating your business. <br /> PE 1617$301 to be paid for the new permit. <br /> Pink and green forms to be filled. <br /> SR0085212 SC523 05/20/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 3 Food Program Service Request Inspection Report <br />