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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 930 am <br /> Time Out: 9:37 am <br /> Food Program Official Inspection Report <br /> Name of Facility: STARBUCKS#68184 Date: 09/21/2022 <br /> Address: 19699 S MOUNTAIN HOUSE PKWY, MOUNTAIN HOUSE 95391 <br /> Owner/Operator: STARBUCKS COFFEE CO Telephone: (206)447-1575 <br /> Program Element: 1624-RESTAURANT/BAR 21-50 SEATS <br /> Inspection Type: INSPECTION/REINSPECTION (Chargeable) <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: 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 /> No Temperature Data Collected <br /> NOTES <br /> This is a second re-inspection from the routine inspection conducted 8-18-22 <br /> The refrigeration unit has been unplugged and is not in use(located in the back room).An attempt has been made to repair <br /> the unit 3x(waiting on parts). Once the unit is repaired/replaced, please contact inspector. <br /> No signature obtained <br /> Report typed at the office 2:47p-2:53p <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/Yukhon Ho, Manager <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0027254 PR0547828 SC333 09/21/2022 <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 />