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SANOAQU I N Environmental Health Department <br /> C O LJ NI T Y I Y Time In: 10:15 am <br /> Time Out: 10:55 am <br /> Grtorness grow$ here, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: WORLD GYM Date: 09/09/2020 <br /> Address: 2340 EAST ST , TRACY 95376 <br /> Requestor: ARLENE TSUJI,WORLD GYM Telephone: (831)840-3713 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0082529 <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 /> #14 Food Contact Surfaces Sanitized or Warewashing Sanitization <br /> OBSERVATIONS:Clean and sanitize all food contact surfaces prior to opening. <br /> CALCODE DESCRIPTION:All food contact surfaces of utensils and equipment shall be clean and sanitized. (I 13984(e), 114097, <br /> 114099.1, 114099.4, 114099.6, 114101 (b-d), 114105, 114109, 114111, 114113, 114115(a, b, d), 114117, 114125(b), 114135, 114141) <br /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:Clean and sanitize all nonfood contact surfaces prior to opening. <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 /> restroom hand sinks--100.00°F 1 door Kenmore--40.00°F <br /> mop sink--100.00°F <br /> NOTES <br /> quat sanitizer is available/test strips available <br /> No signature obtained/COVID-19 <br /> OK to permit as a 1616 once the annual permit fee is paid ($257) <br /> FA0020963 SR0082529 SC061 09/09/2020 <br /> EHD 16-23 Rev.8/18/2020 Page 1 of 2 Food Program Service Request Inspection Report <br />