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Time In: 11.30 am <br /> Time Out: 11:55 am <br /> o .. .. San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> Food Program Service Request Inspection Report <br /> Name of Facility: HICKORY FARMS#13718 Date: 11/07/2018 <br /> Address: 4950 PACIFIC AVE , STOCKTON 95207 <br /> Requestor: JOE NORCROSS-VANDEGRIFF, HICKORY FARMS#13718 Telephone: (815)462-0274 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0079715 <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:Provide hand soap for proper hand washing. <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(0) <br /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:Small freezer at dry storage is open. Provide a lid to keep cold air in. Currently it is 44 F which is not cold <br /> enough. Maintain food at 41 F or lower. <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <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: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 138°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> freezer--dry storage--44.00°F freezer--retail--38.00°F <br /> NOTES <br /> Ok to issue permit.Work on the following issues. <br /> Samples(cheese,ect)are cut with single use utensils and served with toothpicks. Other samples(candy)are dispensed from <br /> bottles. <br /> FA0002706 SR0079715 SC061 11/07/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />