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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: DONA TERA PERUVIAN RESTAURANT, 16438 CAMBRIDGE DR, LATHROP 95330-9544 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: taken 2-17-19 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 /> 2 door True--41.00°F women's restroom hand sink--120.00°F <br /> men's restroom hand sink--120.00°F GE chest freezer--0.00°F <br /> 2 door True freezer---8.00°F hand sink kitchen--125.00°F <br /> 2 comp warewash sink--125.00°F 1 door Kenmore--38.00°F <br /> 2 door Delfield--38.00°F 1 door Kenmore freezer--6.00°F <br /> 1 comp prep sink--120.00°F Frigidaire chest freezer--12.00°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 top pay annual permit fee and fill out change of ownership paperwork. <br /> Ontiveros Pest Solutions-Manteca-monthly pest control service <br /> Rheem 48 gallon HWH-40,000 btu <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: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0008073 SR0080182 SC061 03/22/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />