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Environmental Health Department <br />Time In: <br />12:01 pm <br /> 9:25 am <br />Time Out: <br />Program Element: 1619 - RETAIL MKT >1000 SQ FT (=/>2 DEPTS) <br />Telephone: Owner/Operator: SAFEWAY INC <br />Inspection Type: ROUTINE INSPECTION - Operating Permit <br />Address: 19555 S MOUNTAIN HOUSE PKWY, MOUNTAIN HOUSE 95391 <br />Date: 10/18/2023Name of Facility: SAFEWAY INC #55 <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 /> #23 Rodents, Insects or Animals Inside Facility <br />OBSERVATIONS: Observed multiple fruit flies/flying insects at the produce area. Take action to reduce/eliminate vectors <br />today. <br />CALCODE DESCRIPTION: Each food facility shall be kept free of vermin: rodents (rats, mice), cockroaches, flies.( 114259.1, 114259.4, <br />114259.5) <br /> #35 Equipment/Utensils Approved and in Good Repair <br />OBSERVATIONS: The Bakery walk-in freezer has some ice accumulation on the condenser fan covers and on the rear <br />line(s). Identify the source of the ice and repair as needed. <br />WO #00550559 submitted by Store Director. <br />CALCODE DESCRIPTION: All utensils and equipment shall be fully operative and in good repair. (114175). All utensils and equipment <br />shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br />114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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 <br /> 160 120 <br /> 100 <br />Vidal Yerena March 14, 2024 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />Page 1 of 3EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0027452 PR0548113 SC001 10/18/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD