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° ur I Environmental Health Department <br /> SAN-6-JOAQU <br /> CaLJr <br /> Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: ROUND TABLE PIZZA, 2405 PACIFIC AVE , STOCKTON 95204 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:The hot water handle at the three compartment sink does not shut off. Repair sink so that it is in good <br /> working order within one 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 /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:The men's restroom door does not close completely. Repair self-closing device so restroom door closes <br /> completely. <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 /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Floors under the shelves and tables in the dough area have flour build-up. Detail clean floors within two <br /> days. <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): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Men's restroom--104.00°F Sausage--Three door prep cooler--40.00°F <br /> Walk-in cooler--Dough--40.00°F Three door Perlick cooler--39.00°F <br /> Hand sink--Women's restroom--118.00°F Carbon dioxide--200.000 L <br /> NOTES <br /> Consultation inspection for ownership change. No major violations observed. Time given for correction of minor violations. No <br /> re-inspection. <br /> Ok to issue permit once permit fee is paid ($376)and updated 5021 is received. <br /> FA0001540 SR0087347 SC061 11/09/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 3 Food Program Service Request Inspection Report <br />