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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0508160
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COMPLIANCE INFO_2022
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Last modified
9/13/2022 4:53:44 PM
Creation date
9/13/2022 4:53:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0508160
PE
1620
FACILITY_ID
FA0007966
FACILITY_NAME
Homegoods 0627
STREET_NUMBER
2960
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
23860012
CURRENT_STATUS
01
SITE_LOCATION
2960 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Environmental Health Department <br />Time In: <br />12:20 pm <br />12:03 pm <br />Time Out: <br />Program Element: 1620 - RETAIL MKT 26-300 SQ FT (INCIDENTAL FOODS) <br />Telephone: (774) 308-3651 Owner/Operator: HOMEGOODS, INC. <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 2960 W GRANT LINE RD, TRACY 95304 <br />Date: 09/07/2022Name of Facility: Homegoods 0627 <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 />OVERALL INSPECTION NOTES AND COMMENTS <br />mop sink -- 144.00º F 1 door Dasani -- 34.00º F <br />restroom hand sinks -- 100.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />pre-packaged food / no food preparation <br />No signature obtained <br />Report typed in the office 3:42p-3:45p <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 />assisted by Lisa, Lily & Brenda, <br />KADEANNE LINHARES <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0007966 PR0508160 SC001 09/07/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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