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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0500057
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Entry Properties
Last modified
11/19/2024 10:19:28 AM
Creation date
4/22/2019 11:19:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0500057
PE
1616
FACILITY_ID
FA0004556
FACILITY_NAME
CHEVRON FOOD MART #1563
STREET_NUMBER
1960
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95378
APN
23402001
CURRENT_STATUS
01
SITE_LOCATION
1960 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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JCastaneda
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EHD - Public
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Time In: 11:59 am <br /> Time Out: 12:27mf m <br /> San Joaquin County <br /> Environmental Health Department <br /> :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ., ;P.. Telephone: (209) 468-3420 Fax:(209)464-0138 Web:www.sj oq v.org/ehd <br /> Food Program Official Inspection Report <br /> Name of Facility: CHEVRON FOOD MART#1563 Date: 02/19/2015 <br /> Address: 1960 W 11TH ST,TRACY 95378 <br /> Owner/Operator: CHEVRON PRODUCTS COMPANY(A DIVISION OF CHEVRON U.S TTelephone. (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 COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Helen McCarty Expiration Date: September 21,2015 <br /> Warewash Chlorine(Cl): ppm Heat: 'F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION --TEMP°F --COMMENTS <br /> Walk-in--41.00°F Bev-air(1-door)--41.00°F <br /> NOTES <br /> No violations <br /> Sanitizer-300ppm quat <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: Allie Smith, CSO <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0004556 PR0500057 SCO01 02/19/2015 <br /> EHD 16-23 Rev.01/30/15 Page 1 of 1 Food Program OIR <br />
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