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SAN-JOAQUIN Environmental Health Department <br /> COUNTY <br /> —"` •- Time In: 2:00 pm <br /> Greotness grows here. <br /> Time Out: 2:15 om <br /> Food Program Official Inspection Report <br /> Name of Facility: NORTH LAKE HOMEOWNERS ASSN Date: 08/04/2021 <br /> Address: 3708 FORT DONELSON DR, STOCKTON 95219 <br /> Owner/Operator: NORTH LAKE HOA Telephone: (209)507-7850 <br /> Program Element: 1620-RETAIL MKT 26-300 SQ FT(INCIDENTAL FOODS) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> #43 Toilet Facilites Clean/Supplied/Maintained <br /> OBSERVATIONS:Right end rest room's rubber coving is unattached.Ventilation fan is not working. Both of the rest room <br /> floors have areas with unsealed concrete. Before next pool season floors shall re-painted. Rubber coving shall be <br /> re-attached and fan shall be repaired or replaced. <br /> CALCODE DESCRIPTION:Toilet facilities shall be maintained clean, sanitary and in good repair. Toilet rooms shall be separated by a <br /> well-fitting self-closing door. Toilet tissue shall be provided in a permanently installed dispenser at each toilet. The number of toilet <br /> facilities shall be in accordance with local building and plumbing ordinances. Toilet facilities shall be provided for patrons:in <br /> establishments with more than 20,000 sq ft. establishments offering on-site liquor consumption. (114250, 114250.1, 114276) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 110°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> GE cooler--snack bar--41.00°F white cooler--snack bar--45.00°F <br /> NOTES <br /> Snacks are not on sale at this time due to concern from pandemic. <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: Miya Hoang, employee <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0002318 PR0522657 SCO01 08/04/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program OR <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 />