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11�11h71 i ,e,d O A Q U I iI14,f1, Environmental Health Department <br /> — U `,JT",' <br /> Food Program Official Inspection Report <br /> Facility Name and Address: SAMS MARKET, 11700 FINCK RD, TRACY 95376 <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: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Pepsi QBD--41.00°F 1 door Gatorade QBD--41.00°F <br /> 1 door Starbucks QBD--38.00°F 2 door Coke True--38.00°F <br /> 1 door 7-Up True--39.00°F 1 door Coke Imbera--41.00°F <br /> 7 door walk-in cooler--44.00°F--no potentially hazardous food 4 door walk-in cooler--35.00°F <br /> NOTES <br /> Inspection report typed at the office 1:49-2:01 p <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/owner's son Ammer, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0003133 PRO161244 SCO01 12/24/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <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 />