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Program Element: 1601 - FOOD PLAN CHECK <br />Telephone: Requestor: <br />Inspection Type: 523 - Plan Check/Report Review <br />Address: 19533 S MOUNTAIN HOUSE PKWY , MOUNTAIN HOUSE 95391 <br />Date: 09/21/2022Name of Facility: SAFEWAY 0055 FUEL <br />Food Program Service Request Inspection Report <br /> 9:29 am <br /> 8:53 am <br />Time Out: <br />Time In: <br />Request #: SR0083846 <br />Environmental Health Department <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 /> #23 Rodents, Insects or Animals Inside Facility <br />OBSERVATIONS: There is a trail of ants from the back door to the soda bag in a box rack. Take action to eliminate ants <br />today. <br />CALCODE DESCRIPTION: Each food facility shall be kept free of vermin: rodents (rats, mice), cockroaches, flies.( 114259.1, 114259.4, <br />114259.5) <br />OVERALL INSPECTION NOTES AND COMMENTS <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 /> 400 <br /> 121 <br /> 100 <br />needed <br />3 door Traulsen freezer -- 11.00º F 2 door Hussman Heat & Eat -- 31.00º F <br />3 comp sink -- 121.00º F front of house hand sink -- 101.00º F <br />restroom hand sinks x2 -- 100.00º F hand sink at 3-comp sink -- 110.00º F <br />2 door Traulsen - right -- 40.00º F back of the house hand sink -- 100.00º F <br />Hussman merchandiser -- 39.00º F 2 door Traulsen - left -- 40.00º F <br />14 door walk-in -- 41.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Food plan check final inspection <br />OK to permit as a 1617 once the annual permit fee is paid ($301) <br />No signature obtained <br />Report typed at the office 2:57p-3:09p <br />Page 1 of 2EHD 16-23 Rev. 07/05/2022 Food Program Service Request Inspection Report <br /> SR0083846 SC523 09/21/2022