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Food Program Service Request Inspection Report <br />Facility Name and Address: BLAZIN CAJUN RESTURNAT, 125 BRIDGE PL , STOCKTON 95202 <br />Environmental Health Department <br />OVERALL INSPECTION NOTES AND COMMENTS <br />Chlorine (Cl): <br />Name on Food Safety Certificate:Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br />Needed <br />No Temperature Data Collected <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Consultation inspection. <br />Facility will be selling cajun related foods. <br />Hot water and appliances are currently not operating at the time of inspection. <br />Facility must still undergo an inspection from the fire marshall. <br />Program element: 1624 <br />Ok to issue permit once respective inspections from corresponding agencies have been conducted and corrections have been <br />made. Consult with inspector beforehand. <br />Official inspection report emailed. <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: <br />EH Specialist:Phone:(209) 468-0337 <br />samphors khem, owner <br />VICTOR ACEVEDO <br />Page 2 of 2EHD 16-23 Rev. 06/30/15 Food Program Service Request Inspection Report <br />FA0025078 SR0081467 SC061 12/03/2019