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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtoWSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: NIRVANA, 1005 E PESCADERO AVE , TRACY 95304 <br /> #33 Nonfood Contact Surfaces Clean <br /> OBSERVATIONS:Clean and sanitize all nonfood contact surfaces prior to opening. <br /> CALCODE DESCRIPTION:All nonfood contact surfaces of utensils and equipment shall be clean. (114115(c)) <br /> #34 Warewashing Facilites Maintained <br /> OBSERVATIONS:Obtain chlorine sanitizer test strips prior to opening. <br /> CALCODE DESCRIPTION:Food facilities that prepare food shall be equipped with warewashing facilities. Testing equipment and <br /> materials shall be provided to measure the applicable sanitization method. (I14067(f,g), 114099, 114099.3, 114099.5, 114101(a), <br /> 114101.1, 114101.2, 114103, 114107, 114125) <br /> #44 Premises: Clean/Litter Free;Vermin-Proof <br /> OBSERVATIONS: Install a door sweep at the bottom of the rear double doors of the facility(eliminate the substantial gap at <br /> the bottom of the doors). Correct prior to opening. <br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 6), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): 25 ppm Heat: °F Water/Hot Water Ware Sink Temp: 135°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in cooler--41.00°F 3 door display-right unit--40.00°F <br /> 3 door Atosa--37.00°F prep sinks(two 1 comp prep sinks)--130.00°F <br /> hand sinks--120.00°F 3 door display-left unit--38.00°F <br /> 3 door Atosa freezer---7.00°F <br /> NOTES <br /> OK to permit as a 1625 once the annual permit fee is paid ($376) <br /> No signature obtained/COVID-19 <br /> Report typed at the office 4:06-4:19p <br /> FA0024703 SR0083400 SC061 03/17/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 3 Food Program Service Request Inspection Report <br />