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SAN J O ilil U I Environmental Health Department <br /> C0 U F1T <br /> Food Program Complaint Inspection Report <br /> Facility Name and Address: HAVEN OF PEACE, 7070 S HARLAN RD, FRENCH CAMP 95231 <br /> wiping cloth bucket in kitchen 200 ppm Cl <br /> Upon inspection of the facility's well,the well head is covered. Inspector was unable to remove the cover. Inspectable portion <br /> of the well head appears to be sealed and without openings(free of potential contamination sources) <br /> The one door Freezer is currently not functioning-part is on order. Facility has adequate refrigeration space available. <br /> No major violations identified this date. <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: Olga Rodriguez, Director <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0000102 C00045210 SCO04 12/07/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Complaint Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />