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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtOrAtSs grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: MCDONALDS#4147, 3430 N TRACY BLVD , TRACY 95376 <br /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:Clean and sanitize all non-food contact surfaces prior to re-opening the facility. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:The Fanta/frozen Coke machine has rat droppings and the lines and wires have been chewed through. <br /> IF this equipment is to be repaired and used, it MUST be thoroughly cleaned and sanitized. <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 /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:Properly supply all toilet paper dispensers at time of final inspection. <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 109°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> mop sink(BOH)--110.00°F 2 doo Bev Air--40.00°F <br /> make tabke 2 door--37.00°F hand sink @ 1 comp prep sink--105.00°F <br /> 3-comp sink--109.00°F 2 drawer @ microwaves--4.00°F <br /> 2 door FRANKE--27.00°F 2 drawer @ middle drive thru window--39.00°F <br /> 2 drawer @ hood- -9.00°F 2 drawer @ CONVOTHERM--37.00°F <br /> french fry freezer -11.00°F 1 door Bev Air(#9)--39.00°F <br /> hand sink at drive thru--104.00°F 2 door Traulsen @ hood--9.00°F <br /> 2 door Traulksen freezer--15.00°F hand sink @ baby changing room--106.00°F <br /> 1 comp food prep sink--108.00°F hand sink @ office/BOH--105.00°F <br /> walk-in freezer--13.00°F mop sink(by restrooms)--108.00°F <br /> 1 door Multiplex--38.00°F restroom hand sinks x4(2+2)--106.00°F <br /> walk-in cooler--40.00°F hand sink @ warewashing area--108.00°F <br /> NOTES <br /> Pre-final inspection for remodel of existing food facility <br /> Final inspection scheduled for Wed.,April 10 at 12 noon <br /> FA0003295 SR0085644 SC523 03/27/2024 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 3 Food Program Service Request Inspection Report <br />