S ` ` ,
<br /> 1l�; If 4J O 11a Q U I N Environmental Health Department
<br /> C 0 U "1A i `l
<br /> Food Program Official Inspection Report
<br /> Facility Name and Address: COUNTRY SKILLETS, 1471 W YOSEMITE AVE, MANTECA 95337
<br /> #36 Equipment/Utensils/Linens: Proper Storage/Use
<br /> OBSERVATIONS:One full CO2 tank(20lbs)is not secured. Secure tank today. Corrected on site.
<br /> CALCODE DESCRIPTION:All clean and soiled linen shall be properly stored non-food items shall be stored and displayed separate from
<br /> food and food-contact surfaces. (114185.3- 114185.4) Utensils and equipment shall be handled and stored so as to be protected from
<br /> contamination. (114074-114075, 114081, 114119, 114121, 114161, 114178, 114179, 114083, 114185, 114185.2, 114185.5)
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:Pipes,draining back hand sink, dish washer, 3 comp sink and front hand sink in the floor drains
<br /> underneath, are lacking air gaps. Provide air gaps 1 inch minimum off the floor drain in 1 week. Persisting violation.
<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:observe the back of the house ceiling panels are removed.As per owner,they are removed to be
<br /> washed. Install all the ceiling panels today. Persisting violation.
<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: Required Expiration Date:
<br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F
<br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F
<br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS
<br /> No Temperature Data Collected
<br /> NOTES
<br /> First re inspection.
<br /> Sanitizer buckets are set up with chlorine 100 ppm.
<br /> Floor and hard to reach corners at the cooking area and underneath the cooking equipments are cleaned.
<br /> Majority of violations are not corrected.
<br /> Second re inspection is required in 2 weeks.
<br /> FA0018656 PR0527544 SC333 01/25/2021
<br /> EHD 16-23 Rev.09/16/2020 Page 2 of 3 Food Program OIR
<br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD
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