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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161120
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
2/24/2021 7:52:12 AM
Creation date
2/9/2021 2:09:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0161120
PE
1626
FACILITY_ID
FA0000863
FACILITY_NAME
JACKS PIZZA AND BAR
STREET_NUMBER
1223
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
20015021
CURRENT_STATUS
01
SITE_LOCATION
1223 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SSfwS hemTime In: 11:41 am <br /> Time Out: 12:03 pm <br /> Food Program Official Inspection Report <br /> Name of Facility: TRACY 76 Date: 02/23/2021 <br /> Address: 2420 W GRANT LINE RD, TRACY 95377 <br /> Owner/Operator: JIVTESH GILL Telephone: (209)481-7445 <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 /> #6 Handwashing Facilities Supplied and Accessible <br /> OBSERVATIONS:The soap dispenser at the restroom hand sink is empty/not dispensing soap. Refill dispenser today. <br /> CALCODE DESCRIPTION:Handwashing soap and towels or drying device shall be provided in dispensers dispensers shall be <br /> maintained in good repair. (113953.2) Adequate facilities shall be provided for hand washing,food preparation and the washing of <br /> utensils and equipment. (113953, 113953.1, 114067(0) <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 /> restroom hand sink--100.00°F--1 restroom closed for use ID creamer dispenser--15.00°F--product is frozen <br /> 1 door Grab Heat&Eat--36.00°F walk-in cooler--40.00°F <br /> ID iced coffee dispenser--40.00°F STOK cold brew--37.00°F <br /> NOTES <br /> All pre-packaged food/no food prep(no tamales this date) <br /> No signature obtained/COVID-19 <br /> Report typed at the office 3:45-3:54pm <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: Discussed w/Jaspal Singh, employee <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0003963 PRO161210 SCO01 02/23/2021 <br /> EHD 16-23 Rev.09/16/2020 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.sjgov.org/EHD <br />
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