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Time In: 9.10 am <br /> Time Out: 10:00 am <br /> �P.Q•��k. 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: SUPER BURGER Date: 01/10/2018 <br /> Address: 2120 COUNTRY CLUB BLVD , STOCKTON 95204-4802 <br /> Requestor: HADRAM ALI ALHADRAMI, SUPER BURGER DRIVE IN Telephone: (209)944-9866 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0078567 <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 /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:The 2 door prep cooler is not cold enough. It shall be kept at 41 F or lower at all times. For now do not <br /> use it to store food. <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Hadram Ali Alhadrami Expiration Date:April 10,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 121 °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door prep--51.00°F 1 door prep--37.00°F <br /> walk in--37.00°F soft serve--38.00°F <br /> NOTES <br /> ok to issue permit once fee is paid <br /> Program 1623 Fee$350 <br /> Equipment Mop sink, 2 hand sinks, prep sink, 3 comp sink,45,000 BTU water heater <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: Hadram Ali Alhadrami, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0001443 SR0078567 SC061 01/10/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />