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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0515426
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COMPLIANCE INFO
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Last modified
5/23/2023 4:26:44 PM
Creation date
5/23/2023 4:26:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0515426
PE
1624
FACILITY_ID
FA0012139
FACILITY_NAME
MATSUMOTO SUSHI
STREET_NUMBER
835
Direction
S
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
24202030
CURRENT_STATUS
01
SITE_LOCATION
835 S TRACY BLVD
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 />Facility Name and Address: MATSUMOTO SUSHI, 835 S TRACY BLVD, TRACY 95376 <br />Food Program Official Inspection Report <br /> #30 Food Storage/Display Properly Labeled <br />OBSERVATIONS: Observed a case of chicken on the floor by the back of the house hand sink. Store food up off the floor <br />by 6". Correct today. <br />CALCODE DESCRIPTION: Food shall be stored in approved containers and labeled as to contents. Food shall be stored at least 6" <br />above the floor on approved shelving. (114047, 114049, 114051, 114053, 114055, 114067(h), 114069 (b)) <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 /> 200 123 <br /> 100 <br />Robert Zhang September 27, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />2 door True - right -- 28.00º F fried prawn -- 177.00º F <br />1 door Coke Imbera -- 39.00º F 2 door True - kitchen -- 44.00º F <br />Hoshizaki case - right -- 35.00º F Hoshizaki case - left -- 43.00º F <br />women's restroom hand sink re-check -- 111.00º F women's restroom hand sink -- 66.00º F <br />soup -- 185.00º F 2 door True prep -- 49.00º F <br />rice -- 171.00º F roe @ 2 door True prep -- 49.00º F <br />2 door True - kitchen re-check -- 39.00º F 2 door True prep re-check -- 46.00º F <br />2 door True - left -- 28.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />wiping cloth buckets 100-200ppm Cl <br />Sushi rice 3.0pH <br />No signature obtained <br />Report typed in the office 3:39p-3:51p <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/ Robert Zhang, owner <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0012139 PR0515426 SC001 05/10/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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