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Environmental Health Department <br />Facility Name and Address: CUPPAJO COFFEE, 2626 PACIFIC AVE, STOCKTON 95204 <br />Food Program Official Inspection Report <br /> #41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: Observed a leak under the three compartment sink. Repair sink so that it is in good working order within <br />two weeks. <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 120 <br /> 117 <br />Needed <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hand sink -- Back -- 115.00º F Two door Admiral reach-in cooler -- 41.00º F <br />One door Sanyo reach-in cooler -- 41.00º F Hand sink -- Restroom -- 101.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. No major violations identified. Time was given for correction of minor violation. No re-inspection. <br />Discussed report with Caleb (Employee). Official inspection report was emailed to the operator. <br />Maintain a copy of official inspection report on-site. <br />To minimize person-to-person contact, the signature of the person receiving the inspection report was not 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:Phone:(209) 616-3046 <br />, <br />LYDIA BAKER <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0026571 PR0546894 SC001 08/02/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD