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SANOAQU I N Environmental Health Department <br /> COU NI T Y I Y Time In: 11-52 am <br /> Time Out: 12:18 pm <br /> Greorness grow$ here, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: 11TH ST LIQUOR Date: 04/27/2020 <br /> Address: 18 E ELEVENTH ST , TRACY 95376 <br /> Requestor: PINKESH, 11TH STREET LIQUOR Telephone: (510)512-4346 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0082013 <br /> Inspection Type: 061 -CONSULTATION <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 /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:There is cardboard lining the walk-in cooler shelves. Remove cardboard and use a smooth, cleanable, <br /> non-absorbent material. Correct today. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: n/a 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 comp sink--120.00°F mop sink--120.00°F <br /> hand sink--100.00°F 1 door Monster IDW--41.00°F <br /> restroom hand sinks(x2)--115.00°F 2 door Coke True--40.00°F <br /> 4 door freezer--3.10°F 19 door walk-in cooler--40.00°F <br /> NOTES <br /> Change of ownership inspection <br /> OK to permit as a 1618 once annual permit fee is paid. <br /> Pay annual permit fee online at www.sjgov.org/ehd <br /> Fill out 5021 form provided at inspection. Cross out the previous owner's information (left column)and write in the new owner's <br /> information in the right column. Sign at the bottom and return via e-mail to Kadeanne Linhares (klinhares@sjgov.org).Also <br /> submit a copy of your photo ID. <br /> FA0025163 SR0082013 SC061 04/27/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />