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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: MIDORI FINE ASIAN CUISINE, 2541 NAGLEE RD ,TRACY 95304 <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> back of house hand wash sink--120.00°F 1 comp prep sink--120.00°F <br /> 2 door Avantco keg--41.00°F front of house hand wash sink--100.00°F <br /> 3 comp sink--120.00°F 3 door Atosa prep--38.00°F <br /> retrrom hand wash sinks(x2)--100.00°F kitchen hand wash sink--123.00°F <br /> walk-in cooler--40.00°F <br /> NOTES <br /> OK to permit as a 1625 once annual permit fee is paid ($376) <br /> Return to 1868 E Hazelton Ave. in Stockton to pay annual permit fee and turn in filled out paperwork(5021 form provided this <br /> date). <br /> Approximate opening the 3rd week of March. <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: Harry Yu, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0016310 SR0080267 SC061 03/01/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />