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SA N J a +Hl Q U I ` ,'�1}II Environmental Health Department <br /> Food Program Official Inspection Report <br /> Facility Name and Address: TRACY HILLS GENERAL STORE, 2250 CRISELDO MINA AVE,TRACY 95377 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in cooler--41.00°F 1 door Starbucks IDW--43.00°F <br /> open display--41.00°F restroom hand sink--107.00°F <br /> STOK cold brew coffee--38.00°F chili--145.00°F <br /> nacho cheese--143.00°F hot dog at roller--159.00°F <br /> mop sink--123.00°F <br /> NOTES <br /> A hot dog roller was added since the last routine inspection <br /> chlorine sanitizer available/test strips are needed <br /> One 20#CO2 tank on site <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/Rocio Zuniga, PIC, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0025629 PR0545050 SCO01 12/10/2020 <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 />