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Time In: 2.15 prn <br /> Time Out: 2:45 pm <br /> DP.�•���!. C San Joaquin County <br /> X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c... �a• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> SCJ F p.�ia <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY GROCERY OUTLET Date: 09/12/2017 <br /> Address: 825 W 11TH ST,TRACY 95376 <br /> Owner/Operator: RS BAERWALD INC Telephone: (209)836-2182 <br /> Program Element: 1618-RETAIL MKT>2000 SQ FT (PREPKGD/LTD PREP) <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: NA Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> meat display- 40.00°F front meat display--40.00°F <br /> meat walk-in--38.00°F sausage display--41.00°F <br /> dairy walk-in--40.00°F juice display--41.00°F <br /> NOTES <br /> routine inspection-no reinspection required-no prep at this store-food manager certificate not required <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 Baerwald, co-owner <br /> EH Specialist: NICHOLAS WIESEMAN Phone: (209)468-3445 <br /> FA0003231 PRO161586 SCO01 09/12/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />