Laserfiche WebLink
PAT. San Joaquin County <br /> ya Environmental Health Department <br /> W . X <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 /> Food Program Service Request Inspection Report <br /> Facility Name and Address: KWIK MART, 224 PARK AVE, MANTECA 95337 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: n/a Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 108°F <br /> FOOD ITEM—LOCATION—TEMP°F—COMMENTS <br /> walk in—44.00°F 3 dr True Pepsi—43.00°F <br /> 2 dr Mira Cool Pepsi—37.00°F mop--120.00°F <br /> 2 dr Imbera Coke—40.00°F 2 dr Habco 7 Up—41.00°F <br /> 1 dr True dairy—41.00°F <br /> NOTES <br /> Change of ownership consultation. <br /> New owner to return to 1868 E. Hazelton Ave., Stockton to pay for permit and complete change of ownership form. <br /> Ok to issue permit once all fees have been paid. <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 /> 4-L� <br /> Received by: Name and Title: nazish hussain, new owner(requesto <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> FA0001074 SR0080051 SCO61 01/07/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />