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Environmental Health Department <br />Facility Name and Address: DUTCH BROS COFFEE, 1105 W YOSEMITE AVE, MANTECA 95337 <br />Food Program Official Inspection Report <br /> #35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: The right side drive thru window air curtain is not working. Repair/ replace the unit in 2 weeks. <br />CALCODE DESCRIPTION: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment <br />shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br />114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> #41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: Pipe, draining the ice maker on the floor sink underneath the 3 comp sink, is lacking air gap. Provide air <br />gap 1 inch at least off the floor sink in 1 week. <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 /> #45 Floors, Walls, Ceilings; Clean and Maintained <br />OBSERVATIONS: I observe water spill on the floor, at the ice maker and at the back and front prep lines. Clean floor today. <br />CALCODE DESCRIPTION: The walls / ceilings shall have durable, smooth, nonabsorbent, light-colored, and washable surfaces. All floor <br />surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br />cleanable. Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original <br />unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143 (d), <br />114266, 114268, 114268.1, 114271, 114272) <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 100 135 <br /> 120 <br />Guadalupe Alonso December 15, 2026 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Front hand sink -- 109.00º F 3 Soft Serve Machine / dairy -- 38.00º F <br />Walk in cooler -- 41.00º F 1 comp dumping sink -- By dipper well/ back -- 121.00º F <br />1 D cooler / under prep table -- Prep line/ back -- 41.00º F Hand sink -- Rest room -- 102.00º F <br />Mop sink -- 132.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Chlorine test strips are available. <br />No CO2 tanks on site. <br />Page 2 of 3EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0026285 PR0546379 SC001 03/04/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD