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Time In: 1216 pm <br /> Time Out: 1:08 pm <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: PANERA BREAD LLC Date: 11/18/2016 <br /> Address: 2512 NAGLEE RD ,TRACY 95304 <br /> Requestor: DANIELLE TRITT,ANSWERS INC Telephone: (636)386-6707 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0074379 <br /> Inspection Type: 523-Plan Check/Report Review <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 /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> This is a pre-final inspection per request for Panera Bread, 2512 Naglee, Suite 120,Tracy. Call Melissa at 468-3168 to <br /> schedule for final inspection when ready. <br /> The following items have not been completed: <br /> -Provide 120 F for 3-comp and 100 to 108 F for handwash (restroom handwash are premixed) <br /> -Provide 135 F or above for hot potentially hazardous food (PHF)and 41 F or below for cold PHF <br /> -Soap and paper towel dispensers for hand wash sinks. <br /> -at least 1 inch air gap between drain line and top of floor drain. <br /> -Non-absorbent and cleanable counters <br /> -A carbon dioxide(CO2)tank approximately 300 pounds will be instralled. Please be aware that CO2 among other various <br /> compressed gas is an asphyxiant and is therefore considered a hazardous material subjected to regulation under under <br /> Chapter 6.95, Health and Safety Code, Division 20. The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San <br /> Joaquin County(SJC). You will be placed into SJC Environmental Health Department(EHD)Program 1919 for Hazardous <br /> Material Business Plan (HMBP)and California Environmental Reporting System (CERS)compliance. For more information or <br /> to comply with the reporting requirement in CERS, please go to http://cers.calepa.ca.gov/ <br /> Billing includes driving time. <br /> OIR emailed to jniven@kdccontstruction.com <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: Jim Niven, contractor <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> SR0074379 SC523 11/18/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />