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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: SUSD-NIGHTINGALE SCHOOL, 1721 CARPENTER RD, STOCKTON 95206 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Merry Chandra Expiration Date: November 02,2020 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 dr Hobart--41.00°F Milk cooler--41.00°F <br /> Walk in cooler--41.00°F <br /> NOTES <br /> -Previous report on stie <br /> -Sanitizer bucket: 200 ppm QUAT <br /> -First routine inspection <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 /> V I' <br /> Received by: Name and Title: Liandra Fleming, Kitchen Manager <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> FA0001814 PRO161692 SCO01 11/02/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />