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ll � � oA f� I N Environmental Health Department <br /> Irl �J <br /> e Q U T Y Time In: 9:05 am <br /> Time Out: 9:38 am <br /> ` Greatness grows here. <br /> .- <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: TEPPANYAKI 2 GO#4SM7058 Date: 03/26/2024 <br /> Address: 2900 E HARDING WAY , STOCKTON 95205 <br /> Requestor: MABUTAS, MICHAEL&STERNI, DENISE, TEPPANYAKI 2 GO#4SM7058 Telephone: (209)639-1515 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0087865 <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 /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Observed the cap to the wastewater outlet is missing. Replace and maintain the cap on the outlet at all <br /> times to avoid leakage. Correct within seven days. <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 /> OBSERVATIONS <br /> Name on Food Safety Certificate: Mike Mabutas Expiration Date:August 04,2026 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 136°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Steam table-- 160.00°F True 2-dr prep cooler--37.00°F <br /> True 2-dr upright cooler--39.00°F <br /> NOTES <br /> No major violations. <br /> OKAY to issue permit once permit fee is paid, commissary form is provided, and facility information form (5021)is updated. <br /> LIC:4SM7058 <br /> PROGRAM ELEMENT: 1635 <br /> Print and maintain a copy of the most current inspection report on site. <br /> Note: The signature of the person receiving the inspection report was not captured during the inspection. <br /> FA0023616 SR0087865 SC061 03/26/2024 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />