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o�Q�tN San Joaquin County <br /> :X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> �.. Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> Food Program Official Inspection Report <br /> Facility Name and Address: KFC Corbin 255, 4455 PACIFIC AVE, STOCKTON 95207-7601 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM --LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Other violations written 03/30/16 were corrected. <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 byi— Name and Title: sara estrada relief manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0002469 PRO160388 SC335 04/21/2016 <br /> EHD 16-23 Rev 06/30/15 Page 2 of 2 Food Program OIR <br />