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Time In: 1:5 om <br /> Time Out: 2'15DM <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> d.. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.oro/ehd <br /> tl• dWN <br /> Food Program Complaint Inspection Report <br /> Name of Facility: TRACY GROCERY OUTLET Date: 01/04/2016 <br /> Address: 825 W 11TH ST,TRACY 95376 <br /> Owner/Operator: RS BAERWALD INC Telephone: (209) 836-2182 <br /> Program Element: 1600- FOOD PROGRAM Complaint#: C00040841 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANT STATES, SAW A MOUSE RUN THROUGH THE BACK OF THE STORE ON 12/20/2015. <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".COMARE TS <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> 2nd follow up inspection conducted. Most droppings have been cleaned up. Continue cleaning throughout. Continue pest <br /> control, no site visit since last week. <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: Rick, Owner <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0003231 000040641 SC544 01/04/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Complaint Inspection Report <br /> S <br />