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Time In: 1.46 pro <br /> Time Out: 3:16 om <br /> �...Q .. C San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �..• _ P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4�IFO'Rt� <br /> Food Program Official Inspection Report <br /> Name of Facility: TERRA COFFEE ROASTERS Date: 11/14/2016 <br /> Address: 3044 HORSETAIL DR, STOCKTON 95212 <br /> Owner/Operator: GARCIA, EFRAIN Telephone: <br /> Program Element: 1609-CLASS B COTTAGE FOOD-INDIRECT SALES <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: Expiration Date: <br /> Warewash Chlorine(Cl): 100 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 /> No Temperature Data Collected <br /> NOTES <br /> This is a Routine, verifying this home is permitted to operate as Class B Cottage Food Operation. This report is prepared <br /> retroactive to the inspection <br /> To Accounting: OK to issue permit(PE 1609) <br /> Notes: <br /> -Observed label modified on site to meet regulatory requirement. Owner avoided placing street address on label by agreeing <br /> to place themselves in the telephone directory today. Please provide evidence to EHD within 1 week. Qwong@sjcehd.com) <br /> -Notify this Department if you wish to add other items as listed in CALCODE(which is also listed in the CFO application <br /> guideline, and submit the proper label. <br /> -City of Stockton permitted roaster in the home after owner has met the city's regulatory requirement <br /> -Owner has obtained Food Handler's Card <br /> OIR emailed to laura@terracoffee.com <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: JEFFREY WONG Phone: (209)468-0335 <br /> FA0023734 PRO541418 SCO01 11/14/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />