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pP.4V�N. C San Joaquin County <br /> Environmental Health Department <br /> W' _ ` 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s' oq v.org/ehd <br /> aCiFo'nN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: HAVEN ACRES MARINA, 1691 W FREWERT RD, LATHROP 95330 <br /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:Self closing devices lacking on restroom doors. Provide in 1 week. <br /> CAL CODE 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 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 100°F <br /> FOOD ITEM--LOCATION --TEMP° F --COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> *Fax food manager certificate to EHD in 2 weeks or a re-inspection will occur. <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: `� Cs� Name and Title: Jana, Cook <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0000298 PRO161079 SC333 12/16/2015 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />