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SAN JOAQUIN Environmental Health Department C0JNTY- rSc, n Greotness grows here. Food Program Service Request Inspection Report Facility Name and Address: 76 GAS STATION, 1916 E MARCH LN , STOCKTON 95210 #41 Plumbing Maintained;Approved Back Flow Device OBSERVATIONS:Observed no air gap between ice machine discharge pipe and floor sink. Provide 1 in. minimum air gap within 1 week. 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:The men's restroom toilet paper dispenser was empty. Toilet paper was on top of dispenser. Provide toilet paper in dispenser today. 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) #45 Floors,Walls, Ceilings; Clean and Maintained OBSERVATIONS:Observed missing cove tiles near mop sink in back room. Provide approved coving such as slim foot tile or tile with Schluter cove base within 1 month. Check with EHD prior to doing any work. CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor surfaces, other than the customer service areas, shall be approved, smooth,durable and made of nonabsorbent material that is easily cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), 114266, 114268, 114268.1, 114271, 114272) OVERALL INSPECTION NOTES AND COMMENTS OBSERVATIONS Name on Food Safety Certificate: Expiration Date: Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F FOOD ITEM--LOCATION--TEMP°F--COMMENTS 2 D QBD Pepsi displau--market--41.00°F mop sink--back room--135.00°F 3 comp sink--back room--120.00°F hand sink--men's restroom--100.00°F half&half(cold hold)--creamer dispenser--45.00°F hand sink--back room--100.00°F 1 D Deli Express display--market--41.00°F hand sink--women's restroom--100.00°F walk-in--43.00°F NOTES Change of ownership inspection Facility has prepackaged, coffee, slushy, bagged ice, and soda machine. FA0018792 SR0086156 SCO01 12/22/2022 EHD 16-23 Rev.09/16/2020 Page 3 of 4 Food Program Service Request Inspection Report