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SAN JOAQUIN Environmental Health Department
<br /> C0JNTY-
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<br /> Food Program Service Request Inspection Report
<br /> Facility Name and Address: MAMA'S PHO&SANDWICHES, 8014 LOWER SACRAMENTO RD , STOCKTON 95210
<br /> #35 Equipment/Utensils Approved and in Good Repair
<br /> OBSERVATIONS:Observed untreated/exposed food boards in kitchen. Paint wood or replace boards to provide smooth,
<br /> cleanable, nonabsorbent surfaces. Correct prior to operating.
<br /> Observed ice build up on top and shelves of 1 D Insignia freezer. Clean within 1 week and repair as necessary.
<br /> Observed filtered water faucet installed at kitchen hand sink that is used to fill pitchers. Remove this faucet or provide
<br /> separate sink only used for filtered water to prevent contamination. Correct within 3 weeks.
<br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment
<br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5,
<br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182)
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:Observed no air gap between ice machine discharge pipes and floor sink. Provide 1 in. minimum air gap
<br /> within 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 /> #45 Floors,Walls, Ceilings; Clean and Maintained
<br /> OBSERVATIONS:Observed debris and stains on walls around Cado Uno countertop, hand sink, mop sink, and water
<br /> heater. Deep clean within 1 week and maintain clean.
<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: needed Expiration Date:
<br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F
<br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS
<br /> 2 D Metalfrio reach-in 40.00°F 3 comp sink--120.00°F
<br /> 1 D True reach-in w/prep top--41.00°F 2 D True--45.00°F
<br /> hand sink--restroom--100.00°F prep sink--127.00°F
<br /> hand sink--kitchen--100.00°F 1 D True display--front counter--41.00°F
<br /> FA0018442 SR0086851 SC061 06/27/2023
<br /> EHD 16-23 Rev.07/05/2022 Page 2 of 3 Food Program Service Request Inspection Report
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