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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 1.35 pm <br /> Time Out: 1:47 om <br /> Food Program Official Inspection Report <br /> Name of Facility: GOLDEN CITY MARKET Date: 04/05/2021 <br /> Address: 8150 S EL DORADO ST, FRENCH CAMP 95231-9752 <br /> Owner/Operator: SHAIBI, MUTHANA Telephone: <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: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> mop sink-- 120.00°F restroom hand sink-- 120.00°F <br /> walk-in cooler-Doors#11-20--39.00°F walk-in freezer-Doors#1-10--9.00°F <br /> walk-in cooler-Doors#22-34--37.00°F <br /> NOTES <br /> all pre-packaged food/no food prep <br /> No signature obtained/COVID-19 <br /> Report typed at the office 2:53p-3:00p <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/Muthana Shaibi, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0000114 PRO161270 SCO01 04/05/2021 <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 />