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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SSfwS hemTime In: 1.50 pm <br /> Time Out: 2:15 om <br /> Food Program Official Inspection Report <br /> Name of Facility: ELLIS CREAMERY Date: 04/14/2021 <br /> Address: 2420 W GRANT LINE RD, TRACY 95377 <br /> Owner/Operator: TICSAY, MARIO Telephone: (209)207-8352 <br /> Program Element: 1613-FOOD EST 501-1000 SQ FT W/O SEATING <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 /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Mirafe Primero Expiration Date: May 17,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door freezer at front of the house--13.70°F 2 door AHT(Good Humor)--7.00°F <br /> 2 door Excellence---0.30°F walk-in freezer---9.00°F <br /> 2 door AHT(Helados Mexicanos)--28.00°F 2 door chest freezer--7.10°F <br /> walk-in cooler--40.00°F 2 door Avantco--17.60°F <br /> NOTES <br /> No signature obtained/COVID-19 <br /> Report typed at the office 4:34p-4:39p <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/Mario Ticsay, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0021970 PR0538040 SCO01 04/14/2021 <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 />