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Time In: 9.40 am <br /> Time Out: 10:10 am <br /> �P.�•ut�!. P San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c... �P• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 9L/PORN <br /> Food Program Service Request Inspection Report <br /> Name of Facility: SAFEWAY#2600 Date: 03/27/2017 <br /> Address: 1801 W 11TH ST ,TRACY 95376 <br /> Requestor: DEBI PLAISANCE, CHUACI &PETERSON ARCHITECTS Telephone: (407)643-2347 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0075799 <br /> Inspection Type: 523-Plan Check/Report Review <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1-door- 41.00°F 1-door--41.00°F <br /> 2-door- 41.00°F <br /> NOTES <br /> No violations. <br /> Ok to use new remodeled Starbucks area. Make sure facility has an area for all food/equipment storage. <br /> Contractor states the waste water lines for water filters have an internal back flow prevention device. <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: Jesus, Contractor <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0022704 SR0075799 SC523 03/27/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />