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Time In: 2-00 pm <br /> Time Out: 2:32 pm <br /> Q*.qtytN San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> Food Program Official Inspection Report <br /> Name of Facility: THREE PALMS GROCERY STORE Date: 01/11/2016 <br /> Address: 6732 E WATERLOO RD,STOCKTON 95215 <br /> Owner/Operator: MACHIOALLA, ANWAR Telephone (209)473-8150 <br /> Program Element: 1617- RETAIL MARKET>1000 SQ FT W/ FOOD 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 /> #21 Hot and Cold Potable Water Not Available <br /> OBSERVATIONS:The hot water at the 2 comp sink and the mop sink is at 113 F. Adjust to 120 F or higher today. <br /> CALCODE DESCRIPTION:An adequate,protected,pressurized,potable supply of hot water and cold water shall be provided at all times. <br /> (113953(c), 114099.2(b) 114101(a), 114189, 114192, 114192.1, 114195) <br /> #30 Food Storage/Display Properly Labeled <br /> OBSERVATIONS: Label all the ingredient containers today. <br /> CALCODE DESCRIPTION:Food shall be stored in approved containers and labeled as to contents. Food shall be stored at least 6" <br /> above the floor on approved shelving. (114047, 114049, 114051, 114053, 114055, 114067(h), 114069(b)) <br /> #32 Food Properly Labeled and Honestly Presented <br /> OBSERVATIONS: Provide the manufacturer information for the self serve donuts in 1 week. <br /> CALCODE DESCRIPTION:Any food is misbranded if its labeling is false or misleading, if it is offered for sale under the name of another <br /> food, or if it is an imitation of another food for which a definition and standard of identity has been established by regulation. Food facilities <br /> with 19 or more chains in the state shall disclose nutritional information. (114087, 114089, 114089.1(a, b), 114090, 114093.1, 114094) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Rudy Mendonca Expiration Date: December 19,2020 <br /> Warewash Chlorine(Cl): ppm Heat °F Water/Hot Water Ware Sink Temp: 113°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM --LOCATION --TEMP°F --COMMENTS <br /> 3 dr milk cooler--41.00°F 2 dr Hussman—38.00°F <br /> Mop sink--113.00°F <br /> NOTE <br /> -Previous report is on site. <br /> FA0002458 PRO161925 SCO01 01/1/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Food Program OR <br />