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Food Program Service Request Inspection Report Facility Name and Address: , 613 CAROLYN WESTON BLVD , STOCKTON Environmental Health Department #33 Nonfood Contact Surfaces Clean OBSERVATIONS: Clean and sanitize all nonfood contact surfaces prior to operation. CALCODE DESCRIPTION: All nonfood contact surfaces of utensils and equipment shall be clean. (114115 (c)) #41 Plumbing Maintained; Approved Back Flow Device OBSERVATIONS: The ice machine has not arrived yet. Properly install and provide a 1" minimum air gap at the drain line to the floorsink (line shall terminate 1" above the lip of the floorsink). *send a photo of correction* 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: Properly store toilet paper in the toilet paper dispensers. Correct prior to operation. 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) OVERALL INSPECTION NOTES AND COMMENTS Chlorine (Cl): Name on Food Safety Certificate:Expiration Date: ppmQuaternary Ammonia (QA): Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F Hand Sink Temp:º F OBSERVATIONS 130 100 needed 1 door True -- 38.00º F merchandiser -- 39.00º F 1 door Delfield @ back bar - right -- 36.00º F Bradley sink at restrooms -- 100.00º F front of house hand sink -- 100.00º F -- re-checked from 85F 1 door Delfield @ left oven -- 36.00º F mop sink -- 120.00º F 1 door Delfield @ right oven -- 37.00º F 1 door Delfield @ right espresso machine -- 38.00º F 1 door Delfield @ left espresso machine -- 37.00º F Nitro -- 32.00º F 1 door Delfield @ drive thru -- 37.00º F back of house hand sink -- 101.00º F -- re-checked from 91F 2 door True -- 41.00º F 1 door Delfield @ back bar - left -- 37.00º F 3-comp -- 130.00º F FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS NOTES Food plan check final inspection Facility's walk-up window and drive thru window have air curtains Page 2 of 3EHD 16-23 Rev. 07/05/2022 Food Program Service Request Inspection Report SR0082460 SC523 08/17/2022