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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.s'gov.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 /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:(Bakery&Pizza) Inside walk-ins the coving along wall is separating. Seal gap in 2 weeks. <br /> CALCODE DESCRIPTION: The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Carlos Guzman Expiration Date: March 10,2020 <br /> Warewash Chlorine(Cl): ppm Heat: 106°F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Kajark(3-door)prep--41.00°F Pizza--181.00°F <br /> Meat Walk-in--41.00°F Produce Walk-in--41.00°F <br /> Soft Serve--41.00°F Main Walk-in--39.00°F <br /> Bakery Walk-in--38.00°F Steam table -171.00°F <br /> Store Display 41.00°F--39-41 F Steam table -181.00°F <br /> Front Walk-in 39.00°F Cake Walk-in--39.00°F <br /> NOTES <br /> Sanitizer bucket-200ppm quat <br /> D/W-160F (Took several runs before proper temperature) <br /> Several foods were not keeping time logs(proper temperature) <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 /> _411 - `- Ute/ <br /> Received by: Name and Title: Todd, Store Manager <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0014131 PRO518777 SCO01 03/16/2016 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br />