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SANOAQU I N Environmental Health Department <br /> COUNT -( IY <br /> Crearrie3S grows here, Timeln: 1-15pm <br /> Time Out: 1:45 om <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY NURSING &REHABILITATION CENTER Date: 06/21/2019 <br /> Address: 545 W BEVERLY PL, TRACY 95376 <br /> Owner/Operator: ATMC LLC Telephone: <br /> Program Element: 1628-LICENSED HEALTH CARE FACILITY <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Charito Balingit Expiration Date:June 11,2023 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Silver King milk dispenser(used as a refrigerator)--40.00°F 3 dor True--37.00°F <br /> restroom hand sink--100.00°F steam table water--145.00°F <br /> NOTES <br /> wiping cloth bucket 400 ppm Quat <br /> Both quat(3 comp)and Cl (dish machine)test strips are available <br /> Meal times: B 6:30a/L 11:30a/D 4:30p <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: Charito Balingit, Dietary Supervisor <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0018494 PR0527311 SCO01 06/21/2019 <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 />