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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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1600 - Food Program
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PR0526770
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
11/19/2024 10:19:41 AM
Creation date
8/16/2023 12:50:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0526770
PE
1616
FACILITY_ID
FA0018127
FACILITY_NAME
ISLAND GOURMET MARKET
STREET_NUMBER
1381
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23227015
CURRENT_STATUS
01
SITE_LOCATION
1381 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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Environmental Health Department <br />Time In: <br />10:45 am <br />10:33 am <br />Time Out: <br />Program Element: 1616 - RETAIL MARKET < 1000 SQ FT W / FOOD PREP <br />Telephone: Owner/Operator: ESCOBAR, VIRGILIO R JR <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 1381 W ELEVENTH ST, TRACY 95376 <br />Date: 08/14/2023Name of Facility: ISLAND GOURMET MARKET <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 />Karen Ecobar September 09, 2025 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />3 door MasterBilt -- 41.00º F 3 door Bev Air -- 41.00º F <br />restroom hand sink -- 106.00º F hand sink -- 116.00º F <br />mop sink -- 122.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />All pre-packaged food <br />No signature obtained. <br />Report typed in the office 2:14p-2:20p <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/ Alma Cruz, cashier <br />KADEANNE LINHARES <br />Page 1 of 1EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0018127 PR0526770 SC001 08/14/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD
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