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SAN J 0 A Q , + I ` , Environmental Health Department <br /> Food Program Official Inspection Report <br /> Facility Name and Address: CIRCLE K, 2115 W YOSEMITE AVE, MANTECA 95337 <br /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Existing 3 comp sink has the water faucet unit non functional. Only the spray nozzle is working.fix the <br /> water faucet unit today to be able to provide hot water 120F or more and cold water at the ware wash station. <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: Expired Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 133°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 117°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Front/right side--137.00°F sandwiches warmer--141.00°F <br /> Mini warmer/wings and pizza--135.00°F Mop sink--130.00°F <br /> Hand sink--Front/left side--110.00°F Hand sink--Women rest room--100.00°F <br /> Walk in cooler--41.00°F sandwiches--On the warmer--135.00°F <br /> 1 CO2 tank--137.00°L more than 137lbs Open case cooler/sandwiches--41.00°F <br /> 2 D True cooler--Front 36.00°F <br /> NOTES <br /> QUAT test strips are available on site. <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: <br /> EH Specialist: GEHANE FAHMY Phone: (209)616-3052 <br /> FA0017819 PR0527992 SCO01 08/11/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 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 <br />