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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 /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: PRIME TABLE, 357 LINCOLN CENTER , STOCKTON 95207 <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:Flooring in the one of the back room and ceiling are not finished as required by health and safety code. <br /> Only dry storage in original containers can be done in this room. No prep allowed in this room. <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): 50 ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> air--cold drawers--40.00°F air--prep table--41.00°F <br /> air--master bilt cooler--40.00°F air--superior cooler--41.00°F <br /> air--true cooler--0.00°F air--superior cooler one door--40.00°F <br /> NOTES <br /> Ok to issue permit. Obtain permit prior to operating the faciltiy. <br /> phillipwong@msn.com <br /> There are currently more than 137 pound of carbon dioxide(CO2)cylinders at the facility. Please be aware that CO2 is an <br /> asphyxiant and is therefore considered a hazardous material subject to regulation under Chapter 6.95, Health and Safety <br /> Code, Division 20, The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin County(SJC). You will <br /> be placed into the SJC Environmental Health Program for Hazardous Material Business Plan (HMBP)and will be required to <br /> report your hazardous materials in the California Environmental Reporting System (CERS). For more information or to comply <br /> with the reporting requirement in CERS, please go to: http://cers.calepa.ca.gov/ <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: Phillip wong, Owner <br /> EH Specialist: VIDAL PEDRAZA Phone: (209)468-0334 <br /> FA0022568 SR0076355 SC061 12/12/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />