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r: � I I I Environmental Health Department <br /> Y SA N U <br /> rT'Zrwti COUNTS Time In: 12-23p <br /> Time Out: 12:43 pm <br /> c�`�� Greotr+ess �rGws here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: SAFEWAY#2600 Date: 09/11/2020 <br /> Address: 1801 W ELEVENTH ST , TRACY 95376 <br /> Requestor: TOM BROWN,TOM BROWN CONSTRUCTION Telephone: (530)401-4748 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0082053 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: 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 /> 1 door Nitro frig--40.00°F <br /> NOTES <br /> Inspection to verify the installation of the nitro system @ Starbucks <br /> Installation is complete and proper. <br /> OK to operate <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/Enrique Carrillo, 1st As <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-3420 <br /> FA0022704 SR0082053 SC061 09/11/2020 <br /> EHD 16-23 Rev.8/18/2020 Page 1 of 1 Food Program Service Request Inspection Report <br />