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Environmental Health Department <br />Time In: <br /> 1:23 pm <br />12:47 pm <br />Time Out: <br />Program Element: 1618 - RETAIL MKT >2000 SQ FT (PREPKGD / LTD PREP) <br />Telephone: (401) 765-1500 Owner/Operator: LONGS DRUG STORES CALIFORNIA, L.L.C. <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 3320 N Tracy Blvd, TRACY 95376 <br />Date: 11/09/2021Name of Facility: CVS Pharmacy #9855 <br />Food Program Official Inspection Report <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 />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 100 <br />n/a <br />OVERALL INSPECTION NOTES AND COMMENTS <br />4 door grocery walk-in -- 39.00º F 3 door MB -- 52.00º F -- no phf <br />restroom hand sinsk -- 100.00º F 13 door beer walk-in -- 37.00º F <br />2 door MB (right) -- 45.00º F -- no phf 3 door Grab & Go MB -- 35.00º F <br />2 door MB (left) -- 46.00º F -- no phf (potentially hazardous food)mop sink -- 127.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />All pre-packaged / no food prep <br />No signature obtained <br />Report typed at the office 4:00pm-4:06pm <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: <br />EH Specialist:Phone:(209) 616-3025 <br />discussed w/ Derek Dumadaug, Ops <br />KADEANNE LINHARES <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0003286 PR0161256 SC001 11/09/2021 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD