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Time In: 1 41' uM <br /> Time Out 2 <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> Food Program Official Inspection Report <br /> Name of Facility: PACIFIC AVENUE CHEVRON Date: 01.12'1.2015 <br /> Address: 6633 PACIFIC AVE,STOCKTON 95207 <br /> Owner/Operator: EDWARD R. MARSZAL ENTERPRISES, INC ----TTelephone (916.) 488-3666 <br /> Program Element: 1615 - RETAIL MKT301-2000SO FT (PREPKGD/LTD PREP) <br /> Inspection Type: ROUTINE INSPFCFION -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 AM violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public <br /> health and have the potential to cause foodbome illness.All major violations must be corrected immediate Non-compliance may warrant immediate <br /> rin—M nf thp food farijity <br /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS: Men's restroom Paper towel dispenser is in disrepair. The battery was replaced to correct, <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispenser's 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(f)) <br /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS: Hot water at the 3 comp sink at 118 degrees, Adjust unit so that it provides 120 degrees. Correct by today, <br /> CALCODE DESCRIPTION An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all <br /> times.(113953(c). 114099 2(b) 114101(a). 114189, 114192, 114192.1. 114195) <br /> OVERALL INSPECTION COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate Raeconda McDavid Expiration Date: i:f,.bruafy 22, 20I8 <br /> Warewash Chlorine(Cl): ppm Heat,— -0 IF Water/Hot Water Ware Sink Temp: 11-81 F <br /> Quatemary Ammonia ppm Iodine: ppm Hand Sink Temp.- 100`17 <br /> FOOD ITEM--LOCATION—TEMP-F--COMMENT <br /> brat--hot rollers -- 150.00°F air--hot case— 150 00°F <br /> air - true freeer-- 10.00°F sandwich—display case--40 00°IF <br /> air--walk in cooler--41.00°F <br /> NOTES <br /> FA0002483 PR0160252 SC001 OV12/2015 <br /> EHID 10 23 Rev OV09/15 Page 1 of 2 Food Progfarn 01R <br />