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Pa�'y San Joaquin County
<br /> Environmental Health Department
<br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br /> • �... P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd
<br /> ��/FORa
<br /> Food Program Service Request Inspection Report
<br /> Facility Name and Address: MCDONALD'S#8195, 300 E LOUISE AVE , LATHROP 95330
<br /> #35 EquipmentlUtensils Approved and in Good Repair
<br /> OBSERVATIONS: Install glass between front area and refrigerator. Correct prior to opening.
<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, 114177, 114180, 114182)
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:When ice machine is plumbed, provide an air gap. Correct prior to opening.
<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 /> #45 Floors,Walls,Ceilings; Clean and Maintained
<br /> OBSERVATIONS:Floors have build-up. Clean prior to bringing in food.
<br /> Coving tile lacking in walk-in refrigerator. Install prior to opening.
<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: Expiration Date:
<br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F
<br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS
<br /> Traulsen(2-door)--41.00°F Walk-in--41.00°F
<br /> 2 drawer--41.00°F
<br /> NOTES
<br /> Ok to re-open. Resubmit to CERS a current map.
<br /> Facility has a 3-comp sink, a d/w, a prep sink, and 3 hand sinks.
<br /> FA0007050 SR0074581 SC523 12/22/2016
<br /> EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program Service Request Inspection Report
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