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is NJI I Environmental Health Department <br /> SAOAOIN <br /> COUNTY <br /> ¢ �f flCri SS fGw3 I1BfE. Time In: 9.45 am <br /> Op 0,,' Time Out: 10:15 am <br /> Food Program Official Inspection Report <br /> Name of Facility: 99 CENTS ONLY STORES#185 Date: 08/28/2020 <br /> Address: 1320 W ELEVENTH St,TRACY 95376 <br /> Owner/Operator: 99 CENTS ONLY STORES Telephone: (323)980-8145 <br /> Program Element: 1618-RETAIL MKT>2000 SQ FT (PREPKGD/LTD 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 /> 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: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> produce walk-in cooler--41.00°F mop sink--121.00°F <br /> produce display--41.00°F 12 door walk-in cooler--41.00°F <br /> NOTES <br /> All pre-packaged food/no food prep <br /> No signature obtained/COVID-19 <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: Discussed w/Cathy Mateo, Store Mg <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0003183 PRO161629 SCO01 08/28/2020 <br /> EHD 16-23 Rev.08/10/2020 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.sjgov.org/EHD <br />