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ll � � oA f� I N Environmental Health Department <br /> Irl �J <br /> • I' C U hl T Y Time In: 2:00 pm <br /> Time Out: 2:30 pm <br /> ` Greorness grows here. <br /> .- <br /> Food Program Service Request Inspection Report <br /> Name of Facility: ROSE TEA LOUNGE STOCKTON Date: 05/17/2023 <br /> Address: 5634 N PERSHING AVE , STOCKTON 95207 <br /> Requestor: DUY PHUNG, ROSE TEA LOUNGE Telephone: (916)993-0999 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0086604 <br /> Inspection Type: 061 -CONSULTATION <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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The hand wash sink in the restroom was observed at 78 F. Adjust the hand wash sink water <br /> temperature to maintain 100- 108 F as it is a non-adjustable faucet. Correct prior to operation. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Thuy Ngo Expiration Date:October 26,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 106°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Prep sink--121.00°F Two door True prep cooler--41.00°F <br /> Two door Avantco display cooler--Front counter--41.00°F Three door display cooler--41.00°F <br /> Mop sink--120.00°F Two door Avantco display cooler--Hall--41.00°F <br /> Two door True cooler--41.00°F <br /> NOTES <br /> Consultation inspection for ownership change. No major violations. No re-inspection. <br /> Ok to issue permit once updated 5021 is received and permit fee is paid ($350) <br /> PE 1623 <br /> Discussed inspection report with Duy Phung (Owner). Official inspection report was emailed to operator. <br /> To minimize person-to-person contact,the signature of the person receiving the inspection report was not captured. <br /> FA0025365 SR0086604 SC061 05/17/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 2 Food Program Service Request Inspection Report <br />