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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtoWSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: BAMBU DESSERTS&DRINKS, 1865 W ELEVENTH ST , TRACY <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:The toilet room door is not self-closing. Install a self-closing device on the toilet room door prior to <br /> opening. <br /> CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <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: 121 IF <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 111 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> countertop KoolMore--41.00°F 2 door Central freezer---0.20°F <br /> 3 door Central--36.00°F restroom hand sink--107.00°F <br /> front of house hand sink--116.00°F 3 door Central freezer---2.00°F <br /> 1 comp food prep sink--121.00°F 3 comp sink--121.00°F <br /> 3 door Central prep--38.00°F 2 door Central--37.00°F <br /> back of house hand sink--111.00°F mop sink--121.00°F <br /> NOTES <br /> Food plan check final inspection conducted <br /> Quat sanitizer available/test strips needed <br /> OK to permit as a 1623 once the annual permit fee is paid ($350) <br /> No signature obtained <br /> report typed 2:53p-3:03p <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: discussed w/John Krediet, GC <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0086123 SC523 06/20/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />