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Time In: 9.05 am <br /> Time Out: 9:45 am <br /> �.... .. P 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 /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: SIMON MARKET Date: 09/15/2017 <br /> Address: 201 W POPLAR ST, STOCKTON 95203 <br /> Requestor: BOOTA S SAMRA, SIMON MARKET Telephone: (408)646-5403 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0078160 <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): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 112°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door cooler--front--37.00°F 4 door cooler front -41.00°F <br /> walk in--back non PHF--47.00°F 7 door cooler -front 40.00°F <br /> 1 door IDW--front--41.00°F 2 door habco--non PHF--43.00°F <br /> NOTES <br /> Ok to issue permit once fee is paid. Return to office by 09/18/17 to pay permit fee of$237. Program 1615 <br /> Work on the following: <br /> 1. Room on side of building has had rats in the past. Provide traps at several locations and monitor for rodent activity on a <br /> routine basis. <br /> 2. Go thru baby food inventory monthly and remove expired products. Do not cover expiration date. <br /> 3. Provide liquid soap in restroom and a paper towel dispenser for roll of towels. Post hand wash sign in rest room wall or door. <br /> 4. Rest room sink and cover for light switch has residue. Clean weekly. <br /> 5. Cooler with 7 doors-gaskets for doors 4 and 5 are damaged. Replace by 1 month. <br /> 6. Lack of floor tile(s)inside walk in cooler. Replace by 1 month. <br /> 7. Maintain hot water at 120 F or higher. <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: Boota Samra, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0001332 SR0078160 SC061 09/15/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />