Laserfiche WebLink
Time In: 920 am <br /> Time Out: 9:50 am <br /> �.... .. P 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 /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: PACIFIC SERVICES STATION Date: 01/10/2017 <br /> Address: 6131 PACIFIC AVE , STOCKTON 95207 <br /> Requestor: NADAR INVESTMENTS LP(AMIN SARDAR), PACIFIC SERVICES STATIO Telephone: (510)386-3684 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0076571 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk in--41.00°F <br /> NOTES <br /> Correct the following: <br /> 1. Clean and paint wood shelves at customer area(under coffee pots)by 2 weeks <br /> 2. Detail clean rest room, post new sign and repair ventilation fan by 30 days <br /> 3. 2 comp sink is not clean. Clean today and remove dust pan, ect from drain board <br /> 4. Provide chlorine test strips. Keep level at 100 ppm when sanitizing the coffee pots <br /> 5. Provide paper towels from dispenser at 2 comp sink <br /> 6. Some areas need detail cleaning. Remove dust from floors and walk in wire racks <br /> 7. Provide thermometer for walk in cooler <br /> OK to issue permit once fee is paid. Return to office by 01/11/17. Program 1625. Fee$215 <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: manuel montero, cashier II <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0015019 SR0076571 SC061 01/10/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />