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SHAWN <br /> —COUNTY <br /> Environmental Health Department <br /> �. �J r� <br /> t 7Y - L. <br /> COUNTY Time In: 9:25 am <br /> - rT� <br /> Time Out: 9:45 am <br /> <1 Greottless grows here, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: SK MART Date: 09/14/2023 <br /> Address: 3538 MANTHEY RD , STOCKTON 95206 <br /> Requestor: PRABHLEEN SINGH, SK MART GROCERY Telephone: (209)641-4915 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0087171 <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:The paper towel dispenser in the toilet room is empty(roll paper towels are available). Maintain paper <br /> towels in a dispenser. Correct today. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(17) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door True--41.00°F--NO PHF restroom hand sink--121.00°F <br /> 10 door walk-in cooler--38.00°F mop sink--121.00°F <br /> NOTES <br /> Change of ownership inspection <br /> pre-packaged food only/no food prep <br /> OK to permit as a 1615 once the annual permit fee is paid ($275) <br /> No signature obtained <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/Prabhleen Singh, owne <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0020174 SR0087171 SC061 09/14/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 1 Food Program Service Request Inspection Report <br />