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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hem Time In: 12-49 pm <br /> Time Out: 1:25 om <br /> Food Program Official Inspection Report <br /> Name of Facility: CHEVRON FOOD MART#1563 Date: 02/24/2021 <br /> Address: 1960 W ELEVENTH ST, TRACY 95378 <br /> Owner/Operator: CHEVRON PRODUCTS COMPANY(A DIVISION OF CHEVRON U.S Telephone: (925)842-9002 <br /> Program Element: 1616-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: Helen McCarty Expiration Date: December 17,2025 <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 /> 1 door Bev Air Marketeer--39.00°F HydroZone--41.00°F--no phf <br /> 9 door walk-in cooler--40.00°F <br /> NOTES <br /> quat sanitizer and quat sanitizer test strips are available <br /> Facility is not currently offering re-heated food for sale <br /> ID Creamer and ID Iced Coffee dispensers are not currently in use. <br /> 2 x 20#CO2 on site this date=40#/properly chained <br /> no signature obtained/COVID-19 <br /> Report typed at the office 4:22p-4:30p <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/Helen McCarty, Mgr <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0004556 PR0500057 SCO01 02/24/2021 <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 />