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Time In: 12-19 pm <br /> Time Out: 12:49 pm <br /> Pqurn/ San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., �P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> L/PORN <br /> Food Program Service Request Inspection Report <br /> Name of Facility: MY MINI MART Date: 12/30/2016 <br /> Address: 1756 N WILSON WAY, STOCKTON 95205 <br /> Requestor: ASHISH BOVEJA, MY MINI MART Telephone: (408)204-1636 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0076497 <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: Expiration Date: <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 114°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 114°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk In--41.00°F 1d True--36.00°F <br /> RR--102.00°F 2d Metafrio--30.00°F <br /> NOTES <br /> New owner consultation. <br /> Following conditions must be met to operate. <br /> -Obtain test strips(for chlorine, not quat ammonia,which facility has instead of the correct test strips for bleach)in 3 days <br /> -Provide 120 F or higher for 2-comp ware sink <br /> - Immediately obtain operator permit at this office; be sure to bring a copy of this report with you <br /> OIR emailed to'aboveja@gmail.com' <br /> OK to issue permit after fee is paid. PE 1615 <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: Danny Salhan, cashier <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0001858 SR0076497 SC061 12/30/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />