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SAN JOAQUIN Environmental Health Department <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: T% COFFEE &TEA, 2819 W MARCH LN , STOCKTON 95219 <br /> #47 Signs Posted; Last Inspection Report Available <br /> OBSERVATIONS: Post hand wash sign in rest room. <br /> CALCODE DESCRIPTION:Handwashing signs shall be posted in each toilet room, directing attention to the need to thoroughly wash <br /> hands after using the restroom(113953.5)(b)No smoking signs shall be posted in food preparation, food storage, warewashing, and <br /> utensil storage areas(113978).(c) Consumers shall be notified that clean tableware is to be used when they return to self-service areas <br /> such as salad bars and buffets. (d)Any food facility constructed before January 1, 2004, without public toilet facilities, shall prominently <br /> post a sign within the food facility in a public area stating that toilet facilities are not provided(113725.1, 114381(e)). Proper posting of <br /> nutritional information at facilities with 20 or more chains in California(114094). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Yalum Lin Expiration Date:January 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: "F Water/Hot Water Ware Sink Temp 141 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp 141 °F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> 3 door true--38.00°F 2 door prep--37.00°F <br /> NOTES <br /> Unable to issue permit at this time. Send pictures of corrections to inspector for approval. Once you are"Ok'ed"to issue <br /> permit, Return to office to fill out paper work and pay permit. Program 1623 Fee$350 <br /> Equipment: 40,000 BTU Rheem water heater, hand sink, prep sink, 3 comp sink, mop sink. Rest room sink has an instant hot <br /> heater <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: Yalum Lin, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 616-3051 <br /> FA0022533 SROD84059 SC061 10/19/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />