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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> ` '`�•- Time In: 12-19 pm <br /> 7F 05kT�% Greotness grows here. <br /> Time Out: 1:17 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LA SUPERIOR WATERLOO INC Date: 12/14/2018 <br /> Address: 1536 WATERLOO RD, STOCKTON 95205 <br /> Owner/Operator: LA SUPERIOR WATERLOO INC Telephone: (916)933-0521 <br /> Program Element: 1619-RETAIL MKT>1000 SQ FT(=/>2 DEPTS) <br /> Inspection Type: INSPECTION/REINSPECTION (Chargeable) <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: Alfredo Alvarado Expiration Date:August 25,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Routine re-inspection. <br /> All violations corrected. <br /> Service orders submitted for fridge gasket and retail coolers. <br /> OK to issue permit for 2019 once fees have been paid. <br /> OIR emailed. <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 /> .N' J " <br /> Received by: Name and Title: Alfredo Alvarado, Store director <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0001649 PRO161920 SC333 12/14/2018 <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 />