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Environmental Health Department <br />Time In: <br />12:10 pm <br />11:30 am <br />Time Out: <br />Program Element: 1624 - RESTAURANT/BAR 21-50 SEATS <br />Telephone: (209) 473-7662 Owner/Operator: LIM, LY POUR <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 1221 W MARCH LN, STOCKTON 95207 <br />Date: 05/08/2023Name of Facility: CAPITOL DONUT <br />Food Program Official Inspection Report <br />VIOLATIONS AND CORRECTIVE ACTIONS <br />Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br />113700. All violations must be corrected within specified timeframe. Violations that are classified as "MAJOR" pose an immediate threat to public health <br />and have the potential to cause foodborne illness. All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br />the food facility. <br /> #27 Food Protected from Contamination <br />OBSERVATIONS: Observed black build-up on the inside of the ice machine. Clean and sanitize to protect food from <br />contamination. Correct today. <br />CALCODE DESCRIPTION: All food shall be separated and protected from contamination. (113984 (a, b, c, d, f), 113986, 114060, <br />114067(a, d, e, j), 114069(a, b), 114077, 114089.1 (c), 114143 (c)) <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 /> 124 <br /> 100 <br />Ly Lim April 22, 2026 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hand sink -- Women's restroom -- 107.00º F Two door Norlake cooler -- 41.00º F <br />Mop sink -- 120.00º F Hand sink -- Men's restroom -- 102.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. No major violations. Time given for correction of minor violations. No re-inspection. <br />Discussed inspection report with Ly Lim (Owner). Official inspection report was emailed to operator. <br />Maintain copy of 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 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0001273 PR0160083 SC001 05/08/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD