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SANOAQU I N Environmental Health Department <br /> COUNT -( IY <br /> Crea rrie3S grows here, Time In: 12.00 pm <br /> Time Out: 12:30 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: CHEVRON FOOD MART#1563 Date: 04/19/2019 <br /> Address: 1960 W ELEVENTH ST, TRACY 95378 <br /> Owner/Operator: CHEVRON PRODUCTS COMPANY(A DIVISION OF CHEVRON U.S Telephone: (925)842-9002 <br /> Program Element: 1616-RETAIL MARKET< 1000 SQ FT W/FOOD PREP <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: Helen McCarty Expiration Date:October 21,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in--41.00°F brat-hot hold--145.00°F <br /> hot dog-hot hold--155.00°F 1 door Deli Bev Air--40.00°F <br /> 1 door creamer--40.00°F ID iced coffee--35.00°F <br /> NOTES <br /> The hot hold cabinet,oven and HydraZone Hussman are not in use at the time of the inspection. <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: Helen McCarty, Manager <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0004556 PR0500057 SCO01 04/19/2019 <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 />