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Time In: 926 am <br /> Time Out: 9:55 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: STOP-N-SHOP Date: 09/26/2016 <br /> Address: 1856 W COUNTRY CLUB BLVD , STOCKTON 95204 <br /> Requestor: FAHMI AL SUMERI/AVA FAMILY CORPORATION, STOP-N-SHOP Telephone: (209)605-6415 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0075538 <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: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 125°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Ok to issue permit once fee is paid <br /> Return to office before opening to pay fees <br /> Permit fee$215 <br /> Consultation follow up$139 <br /> Program 1615 <br /> Most conditions written 09/07/16 were corrected. Continue to work on the following: <br /> 1. Few ceiling tiles at ware ware washing are absorbent. Replace with vinyl ones by 1 week. <br /> 2. Install a soap dispenser in rest room. <br /> 3. General clean up of entire facility before opening. <br /> 4. Provide a statement from electrician stating that both elements in water heater work together by 1 week. (total of 4 Kw). <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: vikram puwar, co-owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0018701 SR0075538 SC061 09/26/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />