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r MJOA(1111 Environmental Health Department <br /> COUNTY I <br /> Gf$oLIS@SS 5rws hemTime In: 2-03 pm <br /> Time Out: 2:24 om <br /> Food Program Official Inspection Report <br /> Name of Facility: NY PIZZA&KABOB INC Date: 11/08/2022 <br /> Address: 2185 N TRACY BLVD, TRACY 95376 <br /> Owner/Operator: DOOST, SAMI; DOOST, MASI; ROEEN, FAHIMULLAH Telephone: (510)943-7556 <br /> Program Element: 1624-RESTAURANT/BAR 21-50 SEATS <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: Lala Doost Expiration Date:April 17,2024 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door True pizza prep--29.00°F 2 door True prep--31.00°F <br /> restroom hand sink-employee--105.00°F restroom hand sink-customer--103.00°F <br /> potatoes--31.00°F chicken--29.00°F <br /> NOTES <br /> Scheduled routine inspection/no food prep at time of inspection <br /> Facility is open Thur-Sun:4pm-8pm <br /> Facility may wish to change PE code from a 1624 to a 1617 (put a retail market in the previous dining area)-this Department <br /> is ok with that. <br /> No signature obtained <br /> Inspection report typed up in the office 3:47p-3:55p <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/Sami Doost, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0021635 PR0537578 SCO01 11/08/2022 <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 />