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Environmental Health Department <br />Time In: <br />12:45 pm <br />12:13 pm <br />Time Out: <br />Program Element: 1617 - RETAIL MARKET > 1000 SQ FT W / FOOD PREP <br />Telephone: Owner/Operator: SAFEWAY INC <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 19533 S MOUNTAIN HOUSE PKWY, MOUNTAIN HOUSE 95391 <br />Date: 12/27/2022Name of Facility: SAFEWAY FUEL #5816 <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 /> 400 <br /> 125 <br /> 100 <br />Eric G. Marshall October 11, 2027 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Hussman merchandiser - front unit -- 33.00º F hand sink by 3-comp sink -- 110.00º F <br />chicken and cheese chimichange at Hussman hot hold -- 151.00º <br />F <br />Hussman merchandiser - back unit -- 39.00º F <br />Hussman hot hold -- 103.00º F restroom hand sinks (x2) -- 100.00º F <br />2 door Traulsen - left -- 41.00º F 14 door walk-in cooler -- 39.00º F <br />2 door Traulsen - right -- 41.00º F front of the house hand sink -- 100.00º F <br />back of the house hand sink -- 107.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />quat sanitizer and test strips are available <br />hot dogs and Tornados on rollers are still re-heating at time of inspection. <br />No signature obtained <br />Report typed up in the office 3:51p-4:02p <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/ Rick Marshall, F S Mgr <br />KADEANNE LINHARES <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0027360 PR0547980 SC001 12/27/2022 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD