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°• Environmental Health Department <br /> �. �J r� SHAWN <br /> t 7Y - L. <br /> Y Time In: 9:23 am <br /> tl1r_ —COUNTY— <br /> Time Out: 9:51 am <br /> <, Greolne3S grows he; . <br /> Food Program Service Request Inspection Report <br /> Name of Facility: AFC SUSHI @ SAFEWAY#2600 Date: 08/28/2023 <br /> Address: 1801 W ELEVENTH ST , TRACY 95376 <br /> Requestor: RADICEL LOTH,ADVANCED FRESH CONCEPTS FRANCHISE CORP Telephone: (310)900-9460 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0086918 <br /> Inspection Type: 061 -CONSULTATION <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Yongki Ruslim Expiration Date: May 11,2026 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 124°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk-in cooler(shared w/Safeway Deli)--41.00°F back of the house(BOH) hand sink--110.00°F <br /> hand sink--100.00°F 2 door Traulsen-right--41.00°F <br /> 2 door Traulsen @ BOH--37.00°F restroom hand sinks--100.00°F <br /> walk-in freezer(shared w/Safeway Deli)--19.00°F 2 door Traulsen-left--40.00°F <br /> large walk-in freezer(shared w/Safeway)--11.00°F 2 door prep--38.00°F <br /> 1 comp food prep sink--122.00°F <br /> NOTES <br /> Change of ownership inspection conducted this date. OK to permit as a 1612 once the annual permit fee is paid ($350) <br /> SOP for sushi rice pH (digital probe) <br /> No signature obtained <br /> Report typed in the office 2:22p-2:31 p <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: discussed w/Kevin,Yongki& Ide,AF <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0017612 SR0086918 SC061 08/28/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 1 Food Program Service Request Inspection Report <br />