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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161583
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COMPLIANCE INFO
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Entry Properties
Last modified
6/19/2020 2:39:09 PM
Creation date
12/8/2018 2:49:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0161583
PE
1617
FACILITY_ID
FA0022449
FACILITY_NAME
REFUEL PETROLEUM INC
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95337
APN
21938623
CURRENT_STATUS
01
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\419\PR0161583\COMPLIANCE.PDF
QuestysFileName
COMPLIANCE
QuestysRecordDate
10/28/2015 8:31:38 PM
QuestysRecordID
2720691
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Time In: 16 5n am <br /> Time Out: 11:50 am <br /> Rqr�. <br /> San Joaquin County <br /> >•�'r £oti <br /> Environmental Health Department <br /> " 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www siaov ora/ehd <br /> Food Program Official Inspection Report <br /> Name of Facility: CIRCLE K/EXPRESS MARKET 76 Date: 10/16/2015 <br /> Address: 419 S MAIN ST,MANTECA 95337 <br /> Owner/Operator. CIRCLE K/EXPRESS MARKET 76 Telephone (209)239-7978 <br /> Program Element: 1617-RETAIL MARKET>1000 SQ FT W/FOOD 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 classed as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause loodbome illness All major violations must be corrected immediateN. Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS: i ile facility uses chlorine as a sanitizer, but lacks chlorine test strips(has quat test strips) .Obtain <br /> chlorine test strips by 1 week. <br /> Until test strips are obtained, 1 cap of bleach per gallon of water will give you the adequate sanitizer level. <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.(114067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br /> 114101.1, 1141012 114103, 114107, 114125) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Kuilit Mangat Expiration Date: May 13,2016 <br /> Warewash Chlorine(Cl): ppm Heat:_°F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 126°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> creamiser dispenser--37.00°F pizza link—154.000 F <br /> walk-in—39.00°F Handwash sink—back room—126.000 F <br /> nacho cheese/chili— 141.000 F International Delights iced coffee dispenser—40.000 F <br /> tornado—161.00°F mop sink— 130.00°F <br /> cheddarwurst link—157.00°F burger—165.00°F <br /> women's restroom—103.000 F chicken sandwich— 167.00°F <br /> Fresh Food Fast case—38.00°F beer cooler—39.00°F <br /> 1 door Bev Air—37.00°F men's restroom— 102.00°F <br /> NOTEg <br /> Simmi <br /> FA0022449 PRO161583 SCO01 16/16/2015 <br /> EHD 1623 Rev.06/36/15 Page 1 of 2 Food Program OR <br />
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