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II II I Environmental Health Department <br /> A _ OAQU <br /> CCUNT`f <br /> Food Program Official Inspection Report <br /> Facility Name and Address: CAROLINA/LOS TRES PRIMOS,4555 N PERSHING AVE, STOCKTON 95207 <br /> #45 Floors,Walls,Ceilings; Clean and Maintained <br /> OBSERVATIONS:Mens rest room's soap dispenser, cover for light switch, door and walls needed cleaning. Correct today. <br /> Ladies rest room's light switch cover,walls, and door needed cleaning. Correct today. <br /> There is a hole on the wall in men's rest room. Repair and paint by 2 weeks. <br /> Walk in cooler's walls,floors and shelves are not clean. Clean by 1 week and as needed. <br /> Dry storage floors are not clean. Room needs to be organized. Clean and organize by category. <br /> Hard to reach floors at front are not clean. Clean under counter and behind 3 door cooler by 2 weeks. <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: Juan Valle and Sergio Angulo Expiration Date: May 11,2020 <br /> Warewash Chlorine(Cl): 0 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door prep--back--44.00°F walk in--back--38.00°F <br /> chicken--counter/cooling--113.00°F 3 door turbo air--front--40.00°F <br /> beef--counter/cooling--97.00°F rice--steam table--150.00°F <br /> salsa bar--front--35.00°F beans--steam table--165.00°F <br /> 2 door prep--cooks line--40.00°F <br /> NOTES <br /> There are currently over 135 lbs of carbon dioxide(CO2)cylinders at the facility. Please be aware that CO2 is an asphyxiant <br /> and is therefore considered a hazardous material subject to regulation under Chapter 6.95, Health and Safety Code, Division <br /> 20, The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin County(SJC). You will be placed into <br /> the SJC Environmental Health Program for Hazardous Material Business Plan (HMBP)and will be required to report your <br /> hazardous materials in the California Environmental Reporting System (CERS). For more information or to comply with the <br /> reporting requirement in CERS, please go to: http://cers.calepa.ca.gov/Correct by 30 days. <br /> FA0004641 PRO500146 SCO01 11/07/2017 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 4 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />