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SANOAQU I N Environmental Health Department <br /> COU NI T Y I Y Time In: 10-51 am <br /> Time Out: 11:25 am <br /> Grtorness grow$ here, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: RALPHS CLUB Date: 05/20/2019 <br /> Address: 444 E ELEVENTH ST, TRACY 95376 <br /> Requestor: DENNIS MILLER, RALPHS CLUB Telephone: (209)756-4897 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0080636 <br /> Inspection Type: 061 -CONSULTATION <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door True--41.00°F restroom hand sinks--100.00°F <br /> 2 door Superior--37.00°F 3 door Ward Monterey--35.00°F <br /> 3 door MicroMatic--41.00°F 3 door reach-in--41.00°F <br /> NOTES <br /> facility lacks a mop sink-mop bucket is filled at the 3 comp sink and waste water is dumped into the toilet. <br /> 6 x 20#CO2= 120# <br /> OK to permit as a 1621 once annual permit fee is paid <br /> Return to 1868 E Hazelton Ave. in Stockton to pay annual permit fee prior to opening as new owner <br /> Anticipated effective date 6-1-19 <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: Shawna Beers, current owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0003102 SR0080636 SC061 05/20/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />