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SA N J a +Hl Q U I ` ,'�1}II Environmental Health Department <br /> Food Program Official Inspection Report <br /> Facility Name and Address: KOVALAM GROCERY& RESTAURANT, 1200 W ELEVENTH ST, TRACY 95376 <br /> #29 Toxic Substances Properly Identified/Stored/Used <br /> OBSERVATIONS:Observed two cans of Real Kill Ant and Roach spray. Remove this household insecticide from the <br /> facility. Use commercial grade/food safe products only. <br /> CALCODE DESCRIPTION:All poisonous substances, detergents, bleaches, and cleaning compounds shall be stored separate from food, <br /> utensils,packing material and food-contact surfaces. (114254, 114254.1, 114254.2) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Philip Joseph Expiration Date:April 21,2022 <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 /> 2 door True--41.00°F produce walk-in cooler--43.00°F--whole uncut produce and <br /> unopened dairy <br /> 4 door grocery reach-in--48.00°F--whole uncut produce and restroom hand sinks(x2)--100.00°F <br /> unopened dairy <br /> kitchen walk-in--38.00°F 1 door Rock Star--40.00°F <br /> NOTES <br /> Facility has a fish counter(live tanks and fish on ice). <br /> Facility cooks food for take-out only/no dine in (no seating) <br /> Per owner,the dish machine is not in use. No signature obtained <br /> Report typed up at the office 3:41 pm-4:05pm <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/Philip Joseph, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0003143 PRO161568 SCO01 10/21/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program OIR <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 />