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�...Q .. P San Joaquin County <br /> y� Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �..• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: FRESH DONUTS& ICE CREAM, 1274 W 11TH ST,TRACY 95376 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Vuth Keo Expiration Date:August 24,2020 <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 /> True(prep)--41.00°F True(3-door)--41.00°F <br /> NOTES <br /> Sanitizer bucket- <150ppm-->400ppm quat. <br /> *Facility must close until pipe under warewashing sink is corrected. Call to re-open. <br /> Unable to check hot water at warewashing sink. <br /> Non-commercial refrigerator for personal items only. <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 /> I <br /> Received by: Name and Title: Chhavy, Cashier <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0003162 PRO163138 SCO01 03/07/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />