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S A NJ QA U I N Environmental Health Department <br /> Imo•=' i'v COUNTY <br /> p/ Time In: 9:00 am <br /> Greorness grows here. <br /> Time Out: 9:18 am <br /> COMPLAINT INSPECTION REPORT <br /> Name of Facility: SAMS CAFE Date: 08/18/2021 <br /> Address: 2328 PACIFIC AVE, ADDISON 95204 <br /> Owner/Operator: CAI, SAM MING Telephone: (209)466-5881 <br /> Program Element: 1600- FOOD PROGRAM Complaint#: C00054113 <br /> Responsible Party Contact: <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANTS ALLEGE THE FACILITY IS FILTHY AND THE KITCHEN SHOULD NOT EVEN BE RUNNING BECAUSE <br /> OF HOW DIRTY IT IS. COMPLAINANT ALSO ALLEGES THAT THE HAMBURGER BUNS WERE SOGGY FROM ALL OF <br /> THE GREASE. <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 /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> All violations written 08/10/21 were corrected <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: Sam Ming Cai, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0001741 C00054113 SC544 08/18/2021 <br /> EHD 16-23 Rev.01/07/2021 Page 1 of 1 Complaint Inspection Report <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 />