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SAN JOAQUIN Environmental Health Department <br /> COUNTY- <br /> rSc, n Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: REFRESH LOCKEFORD, 14090 E HWY 88 , LOCKEFORD 95237 <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Observed peeling/missing rubber base in both shared restrooms. Repair/replace coving within 1 month. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Marie Ellen Enad Expiration Date: May 21,2027 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 D Premium Levella display--41.00°F prep sink 121.00°F <br /> 3 comp sink--121.00°F hand sink--100.00°F <br /> hand sinks--M&W restrooms--105.00°F <br /> NOTES <br /> Change of ownership inspection. <br /> Facility will serve teas, coffee,smoothies, and milkshakes. <br /> Restrooms are shared and located in connected adjacent building. <br /> Observed residential Magic Chef reach-in under 3 comp sink drainboard. Per operator it will be for employee use only. <br /> Equipment that is used in a commercial facility must be commercial, it must be NSF or equivalent certified for sanitation. <br /> A ChangBERT induction hot plate will be used for cooking boba. <br /> Quat test and chlorine test strips available. <br /> Discussed report with Marie Ellen Enad. <br /> No signature captured. <br /> Ok to issue permit once fee is paid and 5021 form is issued. <br /> PE 1623,fee$350. <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: DARIA AFONSKAIA Phone: (209)616-3035 <br /> FA0014520 SR0086406 SC061 03/09/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />