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Environmental Health Department <br />Time In: <br /> 1:36 pm <br />12:51 pm <br />Time Out: <br />Program Element: 1623 - RESTAURANT/BAR 1-20 SEATS <br />Telephone: Owner/Operator: BENITES, JUSTINE <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 4600 N PERSHING AVE, STOCKTON 95207 <br />Date: 09/20/2022Name of Facility: EMPOWER HEALTH & WELLNESS <br />Food Program Official Inspection Report <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 /> #41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: Ice machine drainage line does not slope to mop sink with a one inch air gap. All ice machines shall be <br />drained by means of indirect waste pipes discharged through an air gap into a floor sink or other approved waste receptor. <br />Please send photo of correction to lbaker@sjgov.org within two weeks. <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 />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 /> 300 <br /> 129 <br /> 145 <br />Justine Benites October 12, 2022 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hand sinks -- Women's restroom -- 103.00º F Mop sink -- 141.00º F <br />Hand sink -- Men's restroom -- 102.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Routine inspection. No major violations identified. Time given for correction of minor violation. No re-inspection. <br />Discussed official inspection report with Justine Benites (Owner). Official inspection report was emailed to the operator. <br />Maintain a copy of official inspection report on-site. <br />To minimize person-to-person contact, the signature of the person receiving the inspection report was not captured. <br />Page 1 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0024160 PR0542070 SC001 09/20/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD