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Time In: 938 am <br /> Time Out: 10:00 am <br /> �P.Q•��k. 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: CHIPOTLE MEXICAN GRILL Date: 12/01/2016 <br /> Address: 2512 NAGLEE RD ,TRACY 95304 <br /> Requestor: BRENT SCHULZ, FHA ARCHITECTS Telephone: (402)895-0878 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0074699 <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:Provide food manager certificate in 60 days. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> #45 Floors,Walls, Ceilings; Clean and Maintained <br /> OBSERVATIONS:A few gaps left in facility. Seal gaps in 1 week. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas, except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Ok to permit once fees have been paid, return to EHD and pay for permit. <br /> 1625$323+ 1919 <br /> There is currently more than 137 pounds of carbon dioxide(CO2)at the facility. Please be aware that CO2 is an asphyxiate <br /> and is therefore considered a hazardous material subject to regulation under Chapter 6.95, Health and Safety Code, Division <br /> 20. The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin County(SJC). You will be placed into <br /> SJC Environmental Health Department Program 1919 for Hazardous Material Business Plan (HMBP)and California <br /> Environmental Reporting System (CERS)compliance. For more information or to comply with the reporting requirement in <br /> CERS, please go to: http://cers.calepa.ca.gov/ <br /> SR0074699 SC523 12/01/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program Service Request Inspection Report <br />