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`'.. ll � � �A�] I N Environmental Health Department <br /> `- Irl +lJ <br /> L.. v•:v COUNTY <br /> prn <br /> 7fa�p[r+85S grows here. Time In: 1.49 <br /> Time Out: 2:45 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: GROCERY OUTLET Date: 09/01/2020 <br /> Address: 1060 N WILSON WAY, STOCKTON 95205 <br /> Owner/Operator: VILLALBA, ISMAEL Telephone: <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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:Observed large amounts of ice formation inside of the walk in freezer of the facility.The operator stated <br /> that the freezer door is sometimes left open for too long,which results in the condensation to form. Keep and maintain <br /> freezer door closed and remove as much ice formation as possible. Correct within 7 days. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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 /> Meat walk in cooler--40.00°F Mop sink--120.00°F <br /> Deli meat retail cooler--39.00°F Produce walk in cooler--39.00°F <br /> Produce retail cooler--40.00°F Dairy retail cooler--40.00°F <br /> Raw meat retail cooler--39.00°F <br /> NOTES <br /> Routine inspection. <br /> Previous report and food certification on site. <br /> Official inspection report emailed. <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: <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0001108 PRO161905 SCO01 09/01/2020 <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 />