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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS f YB,wS BTime In: 10.09 am <br /> Time Out: 10:45 am <br /> Food Program Official Inspection Report <br /> Name of Facility: CHEVRON#2222 Date: 01/15/2021 <br /> Address: 3400 N MACARTHUR DR, TRACY 95376 <br /> Owner/Operator: CHEVRON STATIONS INC Telephone: <br /> Program Element: 1623-RESTAURANT/BAR 1-20 SEATS <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Jasbir Kaur Expiration Date: November 19,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door True--41.00°F ID creamer dispenser--41.00°F--no product in unit this date <br /> walk-in cooler--38.00°F oval"Recharge"--36.00°F <br /> ID creamer dispenser--38.00°F mop sink--120.00°F <br /> women's restroom hand sink--100.00°F 3 door Bev Air--41.00°F <br /> hot hold cabinet--140.00°F--no product in unit this date <br /> NOTES <br /> quat sanitizer test strips are available <br /> men's restroom occupied at time of inspection-ensure it is properly supplied, maintained, and has hot water at the hand sink <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/Andrea Evans, Store M <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0015178 PR0522283 SCO01 01/15/2021 <br /> EHD 16-23 Rev.09/16/2020 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 />