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Environmental Health Department <br />Facility Name and Address: MISS DULCELICIOUS, 1005 E PESCADERO AVE, TRACY 95304 <br />Food Program Official Inspection Report <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br /> 120 <br /> 100 <br />needed <br />OVERALL INSPECTION NOTES AND COMMENTS <br />women's restroom hand sink -- 105.00º F 3-comp sink -- 120.00º F <br />3 door Atosa -- 37.00º F hand sink -- 120.00º F <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Operator uses this facility as a commissary for her catering operation. <br />Equipment used: dishmachine, 3-comp sink, hand sink, restroom, prep table, and 3 door Atosa refrigerator. <br />Food is prepped (cut, sliced, assembled) at facility: BBQ pork & chicken skewers, macaroni salad, lumpia. <br />Cooking occurs on site at catering events. <br />Warewashing occurs at the facility (dish machine). <br />Food is stored at the facility in between catering events. <br />Operator uses the facility on Mondays. <br />Food is sourced from: Restaurant Depot, Costco, Smart & Final, and Food 4 Less <br />No signature obtained <br />Report typed in the office 2:01p-2:15p <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: <br />EH Specialist:Phone:(209) 616-3025 <br />discussed w/ Dulce Donesa-Manto, <br />KADEANNE LINHARES <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program OIR <br />FA0027008 PR0547503 SC001 09/12/2023 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD