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SANJOAQUI Environmental Health Department <br /> ,n !�-L. x COU T Time In: 10:00 am <br /> € Time Out: 10:40 am <br /> c,Foa�'`r Erectness grows Frere, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: CHEVRON Date: 10/03/2023 <br /> Address: 1222 W ATHERTON DR , MANTECA 95337 <br /> Requestor: CHEVRON LICENSE&PERMITS SPECIALIST, CHEVRON Telephone: (925)842-9002 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0084538 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Provide 1 comp prep sink with one drain board with dimensions as mentioned in the code below.The <br /> sink shall drain to waste by means of an indirect connection at least 1 inch air gap. <br /> A food preparation sink shall be provided in permanent food facilities for the washing, rinsing, soaking, thawing, or similar <br /> preparation of foods. The food prep sink shall have minimum dimensions of eighteen (18)inches by eighteen (18)inches <br /> and twelve(12)inches deep with an integral drainboard at least eighteen (18)inches by eighteen (18)inches. This sink <br /> shall drain to waste by means of an indirect connection [CRFC§1141631. <br /> Provide a splash guard to the back hand sink, by the 3 comp sink. Correct in 4 weeks. <br /> The handwashing and food preparation sinks shall be separated from the warewashing sink or food preparation/storage <br /> areas by a metal splash guard, if separation is less than twenty-four(24)inches. Splash guard shall be at least six(6) <br /> inches in height from back edge to front edge [CRFC§113953]. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> As per Project Manager, there is a food preparation on site for Krispy Krunchy Chicken.A prep sink is required. <br /> Scope of work: <br /> The front dump sink will be removed from the front cooking area, 1 comp prep sink will be added to the back area after <br /> relocating back 1 D freezer to the dry storage room. <br /> Okay to start with the proposed scope of work. <br /> Evidence of correction to be submitted to SJ County Environmental Health Department when changes are implemented. <br /> SR0084538 SC523 10/03/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 2 Food Program Service Request Inspection Report <br />