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SANOAQU I N Environmental Health Department COUNTY IY GrtOrAtSS grovr3 here, Food Program Service Request Inspection Report Facility Name and Address: 76 FUEL ISLAND&CARWASH, 141 E HARNEY LN , LODI 95240 #21 Hot and Cold Potable Water Not Available OBSERVATIONS:Provide hot water of 120F (minimum)to 3-comp sink and mop sink. Provide hot water of 100F(minimum)to hand sinks. CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) #33 Nonfood Contact Surfaces Clean OBSERVATIONS:Clean and sanitize all nonfood contact surfaces. CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) #34 Warewashing Facilites Maintained OBSERVATIONS:Obtain quat or chlorine sanitizer test strips. CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a), 114101.1, 114101.2, 114103, 114107, 114125) #41 Plumbing Maintained;Approved Back Flow Device OBSERVATIONS:Plumbing shall be indirectly connected to a floor sink where required. 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 toilet paper in dispensers in the toilet rooms. 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) 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: °F Quaternary Ammonia(QA): ppm Hand Sink Temp: °F FA0024750 SR0081842 SC523 03/27/2020 EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program Service Request Inspection Report