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SANOAQU I N Environmental Health Department <br /> C O LJ NI T Y I Y Time In: 1020 am <br /> Time Out: 10:35 am <br /> Grtorness grow$ here, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: CANTEEN @ HOME DEPT CROWN BOLT 5121 Date: 05/05/2021 <br /> Address: 2055 INDUSTRIAL DR , STOCKTON 95206 <br /> Requestor: NICOLE ROLLINS ATTN: LICENSING DEPT, COMPASS GROUP USA INC Telephone: (704)328-5621 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0083380 <br /> Inspection Type: 061 -CONSULTATION <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 /> 1 door Imbera Hydrate 34.00°F no phf 1 door Imbera Nourish--40.00°F <br /> 1 door Minus Forty Refresh--40.00°F 1 door Minus Forty freezer--7.00°F <br /> NOTES <br /> New Micromarket installation/all pre-packaged food/no food preparation <br /> OK to permit as a 1615 once the annual permit fee is paid ($250) <br /> No signature obtained/COVID-19 <br /> Report typed at the office 2:07p-2:14p <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/Juan Fuentes, Ops Mg <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0083380 SC061 05/05/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program Service Request Inspection Report <br />