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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl <br /> E"r : <br /> ^'•ti7F Opt�� Greotness grows here. Timee OOutut: 111:3 1 :32 am <br /> 2 am <br /> Food Program Official Inspection Report <br /> Name of Facility: FUSION BOBA CAFE Date: 05/31/2019 <br /> Address: 25 S HUNTER ST, STOCKTON 95202 <br /> Owner/Operator: MMM FUSION INC Telephone: (209)473-1156 <br /> Program Element: 1624-RESTAURANT/BAR 21-50 SEATS <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 /> #32 Food Properly Labeled and Honestly Presented <br /> OBSERVATIONS:Observed food containers without labeling and ingredients inside. Provide labeling for food related <br /> products placed in close able or seal able containers. Correct today. <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Grace Mei Expiration Date: March 24,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Temp: 102°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 Dr True Cooler--41.00°F Display case for bananas ad croissants--41.00°F <br /> 2 Dr Cooler(dairy)--41.00°F 1 Dr Victory cooler(office)--38.00°F <br /> 2 Dr Turbo air prep cooler--40.00°F <br /> NOTES <br /> Previous report and food certification on site. <br /> Sanitizer bucket is set at 100 PPM. <br /> Official inspection report emailed. <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 /> ?7�) <br /> Received by: Name and Title: Grace Mei, owner <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0021405 PR0537289 SCO01 05/31/2019 <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 />