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COMPLIANCE INFO_2022
EnvironmentalHealth
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PR0160452
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COMPLIANCE INFO_2022
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Last modified
6/29/2022 7:52:55 AM
Creation date
6/29/2022 7:49:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0160452
PE
1625
FACILITY_ID
FA0002180
FACILITY_NAME
DEJA VU SHOW GIRLS
STREET_NUMBER
4206
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11702003
CURRENT_STATUS
01
SITE_LOCATION
4206 WEST LN
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Facility Name and Address: DEJA VU SHOW GIRLS, 4206 WEST LN, STOCKTON 95204 <br />Food Program Official Inspection Report <br /> #34 Warewashing Facilites Maintained <br />OBSERVATIONS: Lacking quaternary ammonia test strips. Provide test strips within 1 week. <br />CALCODE DESCRIPTION: Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br />materials shall be provided to measure the applicable sanitization method. (114067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br />114101.1, 114101.2, 114103, 114107, 114125) <br /> #41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: The discharge pipe under the center hand sink was broken during cleaning yesterday. Repair/replace <br />discharge pipe immediately and maintain 1 in. air gap with floor sink. Submit evidence of correction to <br />dafonskaia@sjgov.org within 1 week. <br />The women's restroom right hand sink had slow drainage. Clear blockage today and provide proper drainage. <br />Observed leaking discharge pipe under side hand sink. Repair leaking within 3 days. <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 /> #43 Toilet Facilites Clean/ Supplied/ Maintained <br />OBSERVATIONS: Observed debris on floor in men's restroom. Clean today and maintain clean. <br />The toilet paper dispenser in the right women's stall was empty. Provide toilet paper in dispenser today. <br />The right women's toilet flush handle did not work, toilet has to be flushed by lifting stopper. Repair/replace handle within 1 <br />week. <br />The men's restroom door does not fully self close. Provide fully self-closing door within 1 week. <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 />Page 2 of 4EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0002180 PR0160452 SC001 06/16/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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