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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ <br /> COUNTY— <br /> Time <br /> OUNTY <br /> Tl <br /> E"r : <br /> ^'•ti7F Opt�� Greotness grows here. 1am <br /> Timee OOutut: 111::00 00 am <br /> Food Program Official Inspection Report <br /> Name of Facility: SJC COMMODITY PROGRAM Date: 04/08/2019 <br /> Address: 2736 TEEPEE DR, STOCKTON 95205 <br /> Owner/Operator: SAN JOAQUIN CO DEPT OF AGING Telephone: (209)831-6240 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION -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.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: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Hand sink--Women rest room--106.00°F Mop sink/Hand sink--121.00°F <br /> Hand sink--Men rest room--103.00°F Walk in cooler--41.00°F <br /> NOTES <br /> Prepackaged food only. <br /> Pest control is done biweekly. <br /> No major violations observed. <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: I Name and Title: Paul Daveluy, HSA Program Coordin <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0013563 PR0517717 SCO01 04/08/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />