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�...Q .. C 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 /> 4�IFO';Rt�
<br /> Food Program Official Inspection Report
<br /> Facility Name and Address: COSTCO WHOLESALE#658, 3250 W GRANT LINE RD,TRACY 95377
<br /> #30 Food Storage/Display Properly Labeled
<br /> OBSERVATIONS:(Store) Food products on the floor in large freezer along wall. Keep all food products 6 inches off the
<br /> ground. Correct today.
<br /> (Meat) Sealer cover cut. Replaced.
<br /> CALCODE DESCRIPTION:Food shall be stored in approved containers and labeled as to contents. Food shall be stored at least 6"
<br /> above the floor on approved shelving. (114047, 114049, 114051, 114053, 114055, 114067(h), 114069(b))
<br /> #33 Nonfood Contact Surfaces Clean
<br /> OBSERVATIONS:(Bakery, soda dispenser, pizza)Several floor sinks throughout had build-up. Clean as needed.
<br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c))
<br /> #35 Equipment/Utensils Approved and in Good Repair
<br /> OBSERVATIONS:(Pizza) Traulsen (freezer)has a broken gasket. Replace broken gasket in 2 weeks.
<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, 114177, 114180, 114182)
<br /> #41 Plumbing Maintained;Approved Back Flow Device
<br /> OBSERVATIONS:(Bakery) Prep sink leaks at the knob. Repair leak in 1 week.
<br /> (Meat) 3-comp sink's right faucet is leaking at the hot water knob area. Repair leak in 1 week.
<br /> (Meat) Black tube connected to pipe going into the floor sink removing air gap. Removed.
<br /> (Sampling) Sanitizer dispenser leaks in 2 locations. Repair leak in 2 weeks.
<br /> (Pizza) Prep sinks drips underneath. Repair leak in 2 weeks.
<br /> (Pizza) Front hand sink has a constant leak. Repair leak in 2 weeks
<br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required
<br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing
<br /> ordinances, shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose
<br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171,
<br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269)
<br /> FA0014131 PRO518777 SCO01 03/16/2016
<br /> EHD 16-23 Rev.06/30/15 Page 2 of 3 Food Program OIR
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