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ll � � oA f� I N Environmental Health Department <br /> Irl �J <br /> • I -COUNTY' Time In: 8:15 am <br /> Time Out: 8:55 am <br /> ` Greotr+ess grows here. <br /> .- <br /> Food Program Service Request Inspection Report <br /> Name of Facility: Michael's New York Style Pizza, Inc Date: 09/29/2021 <br /> Address: 2300 W Alpine AVE , STOCKTON 95204 <br /> Requestor: GINA GALDER, MICHAELS NEW YORK STYLE PIZZA INC Telephone: (209)462-6668 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0082493 <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 /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS:Thermometer labels are required for new high heat dish washer. Label shall test water at 160 F. Obtain <br /> by 1 week and test unit weekly. <br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br /> 114101.1, 114101.2, 114103, 114107, 114125) <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Hand sink's hot water pressure is slow. Increase to a normal flow. Correct immediately. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door cooler--bar--31.00°F beverage glass cooler--bar--41.00°F <br /> NOTES <br /> Final for new bar addition <br /> Work is up to code <br /> Equipment: High temp dishwasher, hand sink, dump sink <br /> FA0001695 SR0082493 SC523 09/29/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Food Program Service Request Inspection Report <br />