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San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Food Program Service Request Inspection Report <br />Facility Name and Address: SLV MINI MART, 1200 E ELEVENTH ST , TRACY <br /> #41 Plumbing Maintained; Approved Back Flow Device <br />OBSERVATIONS: The toilet in the west restroom (market side) is leaking. Per contractor, a new toilet has been ordered. <br />Install new toilet prior to operation. <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 />OVERALL INSPECTION NOTES AND COMMENTS <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 /> 120 <br /> 100 <br />needed <br />back of house hand sink -- 110.00º F mop sink -- 120.00º F <br />east restroom hand sink -- restaurant -- 100.00º F 10 door Anthony reach-in freezer -- 12.00º F <br />front of house hand sink -- 108.00º F 1 comp prep sink -- 120.00º F <br />Warren wall unit -- 41.00º F walk-in freezer -- 0.00º F <br />west restroom -- market -- 110.00º F 4 door Anthony reach-in -- 40.00º F <br />walk-in cooler -- 32.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Food Plan check final <br />An additional 36 minute charge is due for today's activity ($91.20) <br />OK to permit as a 1624 once the annual permit fee ($350) and additional time is paid. <br />Return to 1868 E Hazelton Ave. in Stockton to pay annual permit fee prior to operation. <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: <br />EH Specialist:Phone:(209) 468-0330 <br />Louis Alves, ABC Contractors <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program Service Request Inspection Report <br /> SR0075060 SC523 10/13/2017