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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 10:18 am <br /> Time Out: 10:41 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MR PICKLES Date: 09/02/2021 <br /> Address: 2251 W GRANT LINE RD, TRACY 95377 <br /> Owner/Operator: FISCHENICH, MICHAEL& PATRICIA Telephone: (209)834-0100 <br /> Program Element: 1624-RESTAURANT/BAR 21-50 SEATS <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:One employee's Food Handler Card is expired. Have employee renew the Food Handler Card by 30 <br /> days. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Michael Fischenich Expiration Date:April 16,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 115°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> sliced cheese- 39.00°F 2 door Pepsi QBD--41.00°F <br /> 3 door Bev Air 37.00°F cream cheese 40.00°F <br /> tuna salad--38.00°F chicken salad- 41.00°F <br /> 3 door Bev Air prep 34.00°F turkey--41.00°F <br /> 3 door Vortex prep- 41.00°F restroom hand sink--100.00°F <br /> salami--38.00°F pastrami--39.00°F <br /> NOTES <br /> 3 comp sink 700ppm DDBSA/strips available <br /> No signature obtained <br /> Report typed up at the office 2:38pm-2:51 pm <br /> FA0018197 PR0526867 SCO01 09/02/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />