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SHAWN <br /> —COUNTY <br /> Environmental Health Department <br /> �. �J r� <br /> t 7Y - L. <br /> COUNTY Time In: 9:52 am <br /> - rT� <br /> Time Out: 10:22 am <br /> <1 Greotrless grows here, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: CRUMBL COOKIE Date: 08/02/2022 <br /> Address: 2467 NAGLEE RD , TRACY 95304 <br /> Requestor: STACEY WELLNITZ, COMMERCIAL ARCHITECTURE Telephone: (209)571-8158 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0083971 <br /> Inspection Type: 523-Plan Check/Report Review <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: Collin Conner Expiration Date: December 23,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 127°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Atosa-left middle--41.00°F 1 door Avantco hot hold-left--150.00°F <br /> 3 comp sink--127.00°F front of house hand sink--109.00°F <br /> 1 comp prep sink--123.00°F 1 door Avantco hot hold-right--139.00°F <br /> 2 door Atosa-right--35.00°F 2 door Atosa-glass doors--49.00°F--Re-check:43F <br /> Re-check#2:41 F <br /> mop sink--120.00°F 1 door Goldline freezer--0.00°F <br /> 1 door Atosa--36.00°F 2 door Atosa-right middle--41.00°F <br /> 2 door Atosa-left--41.00°F back of house hand sink--120.00°F <br /> restroom hand sink--108.00°F 2 door Atosa-middle--41.00°F <br /> 2 door Atosa--40.00°F <br /> NOTES <br /> Food plan check final inspection conducted. <br /> DDBSA sanitizer& test strips are available <br /> OK to permit as a 1614 once the annual permit fee is paid ($376) <br /> Still waiting on ovens to be delivered (delivery due 8-5-22) <br /> No signature obtained <br /> Report typed up at the office Monday 8-8-22 8a-8:15a <br /> FA0020744 SR0083971 SC523 08/02/2022 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 2 Food Program Service Request Inspection Report <br />