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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 /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: MARYS TEACUP, 14090 E HWY 88 , LOCKEFORD 95237 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Mary Slaviero Expiration Date: May 18,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 109°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 D cooler prep table--39.00°F Prep sink 120.00°F <br /> 1 D cooler 41.00°F Mop sink 120.00°F <br /> NOTES <br /> Chlorine test strips are available. <br /> Hand sink is installed with splash guard at least 6 inches. <br /> Food handler training websites:food hand lerusa.com or prometric.com or nrfsp.com <br /> Ok to permit. <br /> Obtain permit prior to operating business. <br /> PE 1623$350 <br /> OIR emailed to marysteatime7@gmail.com <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 /> ✓� � <br /> Received by: � Name and Title: mary Slaviero, Owner <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0014520 SR0078894 SC061 04/24/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />