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Environmental Health Department <br />Facility Name and Address: CALVARY COMM CHURCH FOOD BANK, 815 W LATHROP RD, MANTECA 95336 <br />Food Program Official Inspection Report <br /> #41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: Pipe, draining the ice maker, is lacking air gap. Provide air gap at least 1 inch off the floor sink in 1 week. <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 /> #47 Signs Posted; Last Inspection Report Available <br />OBSERVATIONS: Women and men rest rooms hand sinks are lacking hand wash signs. Post hand wash signs in 1 week. <br />CALCODE DESCRIPTION: Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br />hands after using the restroom (113953.5) (b) No smoking signs shall be posted in food preparation, food storage, warewashing, and <br />utensil storage areas (113978). (c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br />such as salad bars and buffets. (d) Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br />post a sign within the food facility in a public area stating that toilet facilities are not provided (113725.1, 114381 (e)). Proper posting of <br />nutritional information at facilities with 20 or more chains in California (114094). <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 />Required <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hand sink -- Front coffee station -- 120.00º F 2 D True cooler -- Kitchen -- 39.00º F <br />Hand sink -- Men rest room -- 101.00º F Mop sink -- 125.00º F <br />3 D McCall cooler -- Distribution room -- 41.00º F Hand sink -- Building 402 / distribution -- 117.00º F <br />Hand sink -- Women rest room -- 103.00º F comp sink -- Kitchen -- 132.00º F <br />Hand sink -- Kitchen -- 108.00º F 1 D Bev Air cooler -- Front coffee station/ Cafe building -- 37.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />I inspected the distribution room and the main kitchen and front coffee station. <br />All freezers are functional in distribution room. <br />Hand sink, in the building 402 across the distribution room, is used for volunteers for food distribution. <br />Bleach and chlorine strips are available on site to sanitize utensils. <br />QUAT spray bottle used to sanitize surfaces at the front coffee station. <br />During event with BBQ outside the kitchen, they use 1 D warmer to hold the food. <br />Page 2 of 3EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0012330 PR0515755 SC001 11/15/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD