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SANOAQU I N Environmental Health Department <br /> C O LJ NI T Y I Y Time In: 11 18 am <br /> Time Out: 11:52 am <br /> Grtorness grow$ here, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: NEI BUILDING#17 Date: 03/04/2020 <br /> Address: 2302 E PARADISE RD ,TRACY 95304 <br /> Requestor: DHRUV PATEL, BIG-D PACIFIC BUILDERS Telephone: (385)602-8666 <br /> Program Element: 1601 -FOOD PLAN CHECK Request#: SR0080337 <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 comp prep sink#2 122.00°F 1 comp prep sink#1 --120.00°F <br /> 3 comp--134.00°F mop sink--141.00°F <br /> restroom hand sinks--100.00°F <br /> NOTES <br /> Food plan check final inspection. <br /> OK to permit as a 1626 once the annual permit($425)fee is paid. <br /> Return to 1868 E Hazelton Ave. in Stockton to pay annual permit fee prior to operation. <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: Jobain Hawk, Food Service Director <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> SR0080337 SC523 03/04/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />