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SA NUJ OAHU I N Environmental Health Department <br /> L■ COUNTY <br /> ^ r1 `p' Greol:rless grows Frere, Time In: 1:14 pm <br /> Time Out: 1:54 om <br /> Food Program Official Inspection Report <br /> Name of Facility: SHELL FOOD MART Date: 02/28/2020 <br /> Address: 2320 N EL DORADO ST, STOCKTON 95204 <br /> Owner/Operator: LUTZ, ROBERT& KATHY Telephone: (209)943-1311 <br /> Program Element: 1617-RETAIL MARKET> 1000 SQ FT W/FOOD PREP <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:The restroom had ran out of soap for hand washing inside of the dispenser.An associate stocked the <br /> restroom once I informed her of the soap. Corrected on site. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(0) <br /> #32 Food Properly Labeled and Honestly Presented <br /> OBSERVATIONS:The facility serves donuts that are brought from another permitted facility. Provide a sign stating the <br /> manufacturer's information, address and contact information. Provide within 7 days. <br /> The facility bags their own ice on site, provide a sign stating the following: <br /> ICE BAGGED ON SITE <br /> FACILITY NAME <br /> FACILITY ADDRESS <br /> Correct within 7 days. <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: Betty Farnsworth Expiration Date: February 25,2021 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 122°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 102°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> FA0006447 PRO160609 SCO01 02/28/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 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 />