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oRQ��N. San Joaquin County <br /> Environmental Health Department <br /> y _ 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 4�/Fa.Q�: <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: THE BOATHOUSE, 980 LAKESIDE DR , LATHROP <br /> #41 Plumbing Maintained; Approved Back Flow Device <br /> OBSERVATIONS: Provide back flow prevention device on mop sink. <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: Raw wood at bar on wall and under counters need to be sealed or replaced with FRP. Provide smooth, <br /> non-absorbent and cleanable surface. <br /> Crack at floor tile by kitchen. <br /> Floor&walls around soda boxes needs to be a smooth, cleanable and non-absorbent surface with a coved base. <br /> In kitchen floor tiles and coving tiles are lower. Grout to prevent a gap for debris build-up. <br /> Seal gap around pipes. <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 116°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 /> Call for a re-inspection, once items are complete. <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: Name and Title: Richard, Operator <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> SR0073602 SC523 01/08/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />