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Pa�'y San Joaquin County <br /> 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 /> ��/FORa <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: BRANDONS GENERAL STORE, 2995 REDBRIDGE RD ,TRACY 95377 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <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(prep)--41.00°F 1-door--41.00°F <br /> 2-door--41.00°F <br /> NOTES <br /> Ok to permit once fees have been paid, return to EHD and pay for permit. 1624 21-50 seats <br /> *Facility may not wash produce. <br /> *Replace light bulbs with shatterproof bulbs as replaced. <br /> *D/W not set up and not planning on using. <br /> *Largest utensil must fit in small 3-comp sink. <br /> Facility has a small 3-comp sink, mop sink and hand sink. <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 <br /> required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Brandon, Owner <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0013747 SR0075691 SC061 09/07/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />