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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, CA 95205-6232 • �... _ P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd QLrkoR�'� Food Program Service Request Inspection Report Facility Name and Address: TEA TIME, 1375 E YOSEMITE AVE , MANTECA 95336 #41 Plumbing Maintained;Approved Back Flow Device OBSERVATIONS:Provide a backflow prevention device on the faucet for the mop sink. (photo taken by Kevin). CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing ordinances, shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) #43 Toilet Facilites Clean/Supplied/Maintained OBSERVATIONS:Provide wall mounted toilet paper dispensers and maintain properly supplied. Toilet rooms have existing rubber base coving (customer's)and wooden base board (employee's).Any change to the restroom flooring must be approved prior to installation. The toilet room doors shall be self-closing. CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) #45 Floors,Walls, Ceilings; Clean and Maintained OBSERVATIONS:Provide 3/8" radius base coving in food preparation areas(where rubber base was removed), in warewashing areas, and where open food items will be stored. Tile or vinyl sheet linoleum with 3/8" integral coving are accepted materials. Epoxy must be pre-approved. The existing vinyl sheet linoleum in the ware washing areas shall be properly secured where needed. Install FRP sheeting in food prep areas,warewashing areas, and where open food will be stored. CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), 114266, 114268, 114268.1, 114271, 114272) OVERALL INSPECTION NOTES AND COMMENTS OBSERVATIONS Name on Food Safety Certificate: needed Expiration Date: Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F Quaternary Ammonia(QA): ppm Hand Sink Temp: 116°F FA0000905 SR0074564 SC061 04/04/2016 EHD 16-23 Rev.06/30/15 Page 3 of 4 Food Program Service Request Inspection Report