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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y <br /> ttlir_ ' COUNTY <br /> Greolness grows here. Time In: 12-30 pm <br /> Time Out: 1:00 om <br /> Food Program Official Inspection Report <br /> Name of Facility: CHEVRON#1718 Date: 02/23/2021 <br /> Address: 755 S TRACY BLVD, TRACY 95376 <br /> Owner/Operator: CHEVRON PRODUCTS COMPANY(A DIVISION OF CHEVRON U.S Telephone: (925)842-9002 <br /> Program Element: 1617-RETAIL MARKET> 1000 SQ FT W/FOOD 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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Kathleen Matthews Expiration Date:July 20,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 11 door walk-in cooler--41.00°F 2 door Deli Fresh--36.00°F <br /> mop sink--123.00°F restroom hand sink--100.00°F--one restroom occupied at time <br /> of inspection/not inspected <br /> NOTES <br /> All pre-packaged food/currently no food prep <br /> quat sanitizer test strips are available <br /> Additional Food Safety Certificate available for Lisa Sheppard-expires 7-20-2024 <br /> ID coffee creamer and ID Iced Coffee dispensers are not currently in use <br /> Bulk CO2 on site this date/properly secured <br /> No signature obtained/COVID-19 <br /> Report typed at the office 3:37-3:44pm <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/Kathleen Matthews, MG <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0008110 PR0508326 SCO01 02/23/2021 <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 />