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�...Q .. P San Joaquin County <br /> y� 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 /> '9Gl P Oftt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: TIKI LAGUN RESORT&MARINA, 12988 W MCDONALD RD, STOCKTON 95206 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Shawn Passeri Expiration Date: December 11,2017 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2-door(prep)--39.00°F True(2-door)--41.00°F <br /> 1-door--40.00°F <br /> NOTES <br /> Sanitizer bucket-100ppm chlorine <br /> *Facility underwent remodel without plans to this dept. Submit digital plans in 2 weeks with a service request. <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 /> Y <br /> Received by: Name and Title: Shawn, Manager <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0004175 PRO160928 SCO01 05/26/2016 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br />