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SAN
<br /> 1` ` e J O 1a Q U I N Environmental Health Department
<br /> C 0 U A i `l
<br /> Food Program Official Inspection Report
<br /> Facility Name and Address: BlackHawk Petroleum Inc., 5611 E WATERLOO RD, STOCKTON 95215
<br /> #27 Food Protected from Contamination
<br /> OBSERVATIONS:Observed debris on both soda machine ice chutes. Clean today and maintain clean.
<br /> CALCODE DESCRIPTION:All food shall be separated and protected from contamination. (113984(a, b, c,d, t), 113986, 114060,
<br /> 114067(a, d, e,j), 114069(a,b), 114077, 114089.1 (c), 114143(c))
<br /> #32 Food Properly Labeled and Honestly Presented
<br /> OBSERVATIONS: Ice is made and packaged on site,there was no sign posted or labels on the ice bags. Provide sign on
<br /> freezer door or on each bag that ice is made on site with the name and address of the facility included. Correct today.
<br /> CALCODE DESCRIPTION:Any food is misbranded if its labeling is false or misleading, if it is offered for sale under the name of another
<br /> food, or if it is an imitation of another food for which a definition and standard of identity has been established by regulation. Food facilities
<br /> with 19 or more chains in the state shall disclose nutritional information. (114087, 114089, 114089.1(a,b), 114090, 114093.1, 114094)
<br /> #33 Nonfood Contact Surfaces Clean
<br /> OBSERVATIONS:Observed debris in floor sink under soda machine. Clean today and maintain clean.
<br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c))
<br /> #34 Warewashing Facilites Maintained
<br /> OBSERVATIONS:Lacking sanitizer test strips. Provide sanitizer test strips within 1 week.
<br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and
<br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a),
<br /> 114101.1, 114101.2, 114103, 114107, 114125)
<br /> #35 Equipment/Utensils Approved and in Good Repair
<br /> OBSERVATIONS:Observed 4 unsecured 20 Ib CO2 cylinders in back room. Keep pressurized cylinders secured to a rigid
<br /> structure at all times. Correct today.
<br /> Observed food debris on chip and nuts snack aisles. Clean today and maintain clean.
<br /> Observed ice build up on top and around door of right Frigidaire freezer. Clean within 1 week.
<br /> Observed residential Oster Toaster oven on shelf in back room.All equipment must be commercial equipment that is NSF
<br /> or equivalent certified for sanitation. Remove/replace this unit.
<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 /> FA0002160 PRO161896 SCO01 12/19/2022
<br /> EHD 16-23 Rev.09/16/2020 Page 2 of 4 Food Program OIR
<br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD
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