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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 /> ��iFORa <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: KIMMY RESTAURANT, 1412 ROSEMARIE LN , STOCKTON 95207 <br /> #45 Floors,Walls,Ceilings; Clean and Maintained <br /> OBSERVATIONS:Couple of base tiles missing on corner wall in kitchen. Re-install by 4 days. <br /> Some tiles lack grout.All gaps shall be sealed by 4 days. <br /> Ceiling above walk in and wood under hand sink is absorbent. Repair ceiling by 1 week.All absorbent surfaces shall be <br /> painted by 1 week. <br /> Gaps between base tiles and walls shall be grouted by 4 days. <br /> CALCODE DESCRIPTION:The walls/ceilings shall have durable,smooth,nonabsorbent,light-colored,and washable surfaces. All floor <br /> surfaces, other than the customer service areas, shall be approved, smooth, durable and made of nonabsorbent material that is easily <br /> cleanable.Approved base coving shall be provided in all areas,except customer service areas and where food is stored in original <br /> unopened containers. Food facilities shall be fully enclosed. All food facilities shall be kept clean and in good repair. (114143(d), <br /> 114266, 114268, 114268.1, 114271, 114272) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 140°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 140°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> walk in--kitchen--41.00°F 2 door Ig prep--kitchen--36.00°F <br /> 2 door sm prep--kitchen--44.00°F 1 door cooler--front--40.00°F <br /> 2 door cooler--front--35.00°F <br /> NOTES <br /> ok to issue permit once fee is paid. Return to office before opening to pay for fees and fill out paper work. <br /> Program 1624 Fee$350 <br /> Sinks: mop sink,4 hand sinks, prep sink(2 comp), 2 comp ware washing sink. Rheem water heater 75,000 <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: My Thi Kim Mc Guire, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0001497 SR0078643 SC061 02/01/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />