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Time In: 11:15 am <br /> Time Out: 11:45 am <br /> o�a�tt� San Joaquin County <br /> :a Environmental Health Department <br /> W. ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> •9•CI F o.�� <br /> Food Program Official Inspection Report <br /> Name of Facility: SURF CITY SQUEEZE Date: 01/10/2017 <br /> Address: 4950 PACIFIC AVE, STOCKTON 95207 <br /> Owner/Operator: KIM, EUNYONG B Telephone: (209) 914-1253 <br /> Program Element: 1612 - FOOD EST <500 SQ FT W/O SEATING <br /> Inspection Type. ROUTINE INSPECTION - Operating Permit <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately. Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Chong Kim Expiration Date: December 07,2018 <br /> Warewash Chlorine(CI): 100 ppm Heat: OF Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 125°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> (L) 1 door prep--38.00° F (R) 1 door prep--33.00°F <br /> 1 door cooler--37.00° F <br /> NOTES <br /> No violations <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" --- <br /> '�;;I Aq'z'� <br /> Received by: Name and Title: chong kim, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0018831 PR0527782 SCO01 01/10/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OIR <br />