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Time In: 930 am <br /> Time Out: 10:30 am <br /> PQ�rN San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., �P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> L/PORN <br /> Food Program Service Request Inspection Report <br /> Name of Facility: GREEN PAPAYA Date: 03/28/2017 <br /> Address: 7840 WEST LN , STOCKTON 95210 <br /> Requestor: STEVEN TORRES(ARCHITECT),APEX ARCHITECTURE Telephone: (209)662-4874 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0076366 <br /> Inspection Type: 523-Plan Check/Report Review <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Mony Vangsoulatda Expiration Date: November 09,2020 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 133°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 107°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> HW 2- hallway -102.00°F 2D Atosa prep table--counter--39.00°F <br /> HW 3- counter -104.00°F HW 1 --kitchen--107.00°F <br /> RR--100.00°F 4 drawer Atosa prep table--kitchen--46.00°F <br /> 3D Atosa upright--hallway--40.00°F 3-comp sink--kitchen--133.00°F <br /> 3D Atosa prep table--kitchen--47.00°F 1-comp prep--kitchen--120.00°F <br /> NOTES <br /> This is a final plan check inspection. <br /> Following conditions are required to operate: <br /> -Complete installation of hood/baffles and ANSUL system (which is scheduled today 12pm and Fire inspection at 3pm) <br /> -Provide 41 F or below for all potentially hazardous food (PHF)internal temperature <br /> -Provide food handler's cards for all new food handlers within 30 days of hire <br /> -Complete installation of ceiling and insulation panels <br /> -Provide 1-inch air gap to floor sink for pipings under prep sink <br /> -Chain down all CO2 cylinders to permanent structure <br /> -Post hand wash sign in restroom <br /> Note: Existing water heater rated at 75K BTU <br /> OIR emailed to greenpapayaft@yahoo.com <br /> OK to issue permit after fee is paid. 28 seats. PE 1624 <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: mony vangsoulatda, onwer/manager <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0019413 SR0076366 SC523 03/28/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />