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Pa�'y San Joaquin County <br /> 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 /> ��/FORa <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: OLD TOWN MARKET, 2201 S B ST, STOCKTON 95206 <br /> #32 Food Properly Labeled and Honestly Presented <br /> OBSERVATIONS:Provide the manufacturer information for the self serve bakery items. <br /> Provide the following sign for the bagged ice: <br /> Ice bagged on site <br /> Business name <br /> Business address <br /> CALCODE DESCRIPTION:Any food is misbranded if its labeling is false or misleading, if it is offered for sale under the name of another <br /> food, or if it is an imitation of another food for which a definition and standard of identity has been established by regulation. Food facilities <br /> with 19 or more chains in the state shall disclose nutritional information. (114087, 114089, 114089.1(a, b), 114090, 114093.1, 114094) <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:There is a residential style stove in the back area. Cooking with oil on the stove is not allowed. Only the <br /> boiling of foods is allowed. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 dr Traulsen--Back area--41.00°F Tamales--170.00°F <br /> Mop sink--120.00°F 2 dr True(2)--Deli--41.00°F <br /> Cheese and deli meat--Retail--41.00°F 3 dr Bev Air prep cooler--Deli 49.00°F <br /> Walk in cooler--41.00°F Hot hold--Deli--41.00°F <br /> NOTES <br /> This is a new ownership consultation. <br /> Ok to issue permit after the fee of$258 is paid. PE: 1617 <br /> Report emailed to oldtownmarket2201 @gmail.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: kanwardeep singh bhullar, Owner <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> FA0001509 SR0077037 SC061 03/29/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />