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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> .. a Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> Food Program Official Inspection Report <br /> Facility Name and Address: CVS Pharmacy#3908, 1885 W 11th St, TRACY 95376 <br /> OVERALL INSPECTION COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: N/A Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp 72°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp °F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> Walk-in--41.00°F <br /> NOTES <br /> Mop sink-73F <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: Darlene Costa, Store Manager <br /> EH Specialist: MELISSA NISSIM Phone: (209) 468-3168 <br /> FA0014350 PR0519192 SCO01 03/30/2015 <br /> EHD 16-23 Rev.01/30/15 Page 2 of 2 Food Program OIR <br />