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r: � I I I Environmental Health Department <br /> N <br /> Y U <br /> f �Z wti <br /> —COUNTY— Time In: s-50 am <br /> Time Out: 10:25 am <br /> c�`�� Greotr+ess �rGws here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: BULLFROG LANDING MARINA Date: 09/04/2019 <br /> Address: 17251 BACON ISLAND RD , STOCKTON 95219 <br /> Requestor: TIFFANY T LE, BULLFROG LANDING MARINA Telephone: (916)290-2103 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0081052 <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: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Coke True--39.00°F 2 door Turbo Air--48.00°F--no phf <br /> 3 door--45.00°F restroom hand sinks--100.00°F <br /> NOTES <br /> OK to permit as a 1615 once annual fee is paid-permitted for pre-packaged food only <br /> Return to 1868 E Hazelton Ave in Stockton to pay permit fee within 3 business days($250) <br /> Ownership date taken over on August 8, 2019 <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: Tiffany Le, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0001818 SR0081052 SC061 09/04/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />