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SANOAQU I N Environmental Health Department <br /> COUNT -( IY <br /> Crearrie3S grows here, Time In: 12-55 pm <br /> Time Out: 1:20 om <br /> Food Program Official Inspection Report <br /> Name of Facility: SAMS MARKET Date: 02/12/2019 <br /> Address: 11700 FINCK RD, TRACY 95376 <br /> Owner/Operator: ELHADY,ARIEF ABDO Telephone: (209)321-0850 <br /> Program Element: 1615-RETAIL MKT 301-2000 SQ FT(PREPKGD/LTD PREP) <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door Pepsi True--38.00°F 1 door Coke Imbera--39.00°F <br /> 7 door walk-in-no phf--43.00°F restroom hand sink--100.00°F <br /> 2 door Pepsi True--40.00°F 2 door Coke True--41.00°F <br /> 4 door walk-in--40.00°F <br /> NOTES <br /> 3 comp sink has been purchased (but not installed)-provide hot water 120F <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: Adam Elhady, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0003133 PRO161244 SCO01 02/12/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />