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Time In: 2-30 pro <br /> Time Out: 2:54 pm <br /> �...Q .. C San Joaquin County <br /> .X 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 /> Food Program Service Request Inspection Report <br /> Name of Facility: HICKORY FARMS#13566 Date: 11/16/2018 <br /> Address: 3200 S NAGLEE RD ,TRACY 95376 <br /> Requestor: JOE NORCROSS-VANDERGRIFF, HICKORY FARMS 13566 Telephone: (406)439-0916 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0079756 <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:Properly supply pump style soap dispenser and paper towel dispenser prior to operation. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(0) <br /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:Kiosk hand sink does not have water at time of inspection. Provide hot water to hand sink at 100F <br /> (minimum)prior to operation of kiosk. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Wes Blondin Expiration Date:October 06,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> chest cooler--22.00°F <br /> NOTES <br /> No product on site(coming on tonight) <br /> Kiosk will use Space 420 for storage(manager has key-unable to access this date)-Space 420 has a restroom with hot <br /> water(unable to verify) <br /> All samples are received pre-cut. <br /> OK to operate once conditions are met. <br /> FA0007423 SR0079756 SC061 11/16/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />