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... . San Joaquin County <br /> )O. .QOG <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. �a• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �/PORN <br /> Food Program Official Inspection Report <br /> Facility Name and Address: MUSD-GEORGE Y KOMURE ELEMENTARY, 2121 HENRY LONG BLVD, STOCKTON 95206 <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk-in- 41.00°F Traulsen(2-door)--41.00°F <br /> Nor-lake(milk)--41.00°F <br /> NOTES <br /> Sanitizer bucket-200ppm chlorine <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: Victoria, Food Service <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0014810 PRO521810 SC101 05/01/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />