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SHAWN <br /> —COUNTY <br /> Environmental Health Department <br /> �. �J r� <br /> t 7Y - L. <br /> COUNTY Time In: 9:43 am <br /> - rT� <br /> Time Out: 10:15 am <br /> <1 Greotrless grows here, <br /> Food Program Service Request Inspection Report <br /> Name of Facility: MATSUMOTO SUSHI Date: 10/18/2022 <br /> Address: 835 S TRACY BLVD , TRACY 95376 <br /> Requestor: ROBERT ZHANG, MATSUMOTO SUSHI Telephone: (209)836-5888 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0085892 <br /> Inspection Type: 061 -CONSULTATION <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 /> #7 Hot and Cold Holding Temperatures <br /> OBSERVATIONS:The 2 door True refrigerator in the kitchen (lettuce/produce)is 43F. Reduce the temperature of this unit <br /> to 41 F or lower. Correct today. <br /> The two Hoshizaki counter top sushi cases are not turned on. Ensure these units are 41 F or below prior to use. <br /> CALCODE DESCRIPTION:Potentially hazardous foods shall be held at or below 41/45°F or at or above 135°F. (113996, 113998, <br /> 114037, 114343(a)) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Robert Zhang Expiration Date:September 27,2025 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 comp food prep sink(back of the house)--126.00°F 2 door True-left--31.00°F <br /> 1 comp food prep sink(front of the house)--125.00°F back of the house hand sink--131.00°F <br /> front of the house hand sink--107.00°F 2 door True-right--33.00°F <br /> 2 door True prep--41.00°F restroom hand sinks--100.00°F <br /> 3 comp--125.00°F 3 door True freezer--1.10°F <br /> 2 door True--43.00°F 1 door Coke Imbera--36.00°F <br /> NOTES <br /> OK to permit as a 1624 once the annual permit fee is paid <br /> Facility will be closed on Tuesdays <br /> No signature obtained <br /> Inspection report typed up in the office 2:19p-2:28p <br /> FA0012139 SR0085892 SC061 10/18/2022 <br /> EHD 16-23 Rev.07/05/2022 Page 1 of 2 Food Program Service Request Inspection Report <br />