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i <br /> n��eutn. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> i <br /> Telephone., 209 468-3420 Fax: 209 464-0138 Web:www.s ov_or lehd <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: MANTECA EXPRESS,2115 VV YOSEMITE AVE , MANTECA 95337 <br /> E S <br /> Name on Food Safety Certificate: nla Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp 120°F <br /> Quaternary Ammonia(QA): 300 ppm Hand Sink Tempe 100°F <br /> IT C N--TEMP°F COM <br /> walk-in cooler--47.00°F walk-in freezer-- 17.00°F <br /> handwash sink at counter--120.00°F men's restroom hot water—100.00°F <br /> women's restroom hot water— 100.00°F <br /> NOTES i <br /> Pre-packaged food only. No food prep at this time. <br /> Facility lacks a prep sink. Should food prep occur, a 1 compartment food preparation sink must be installed. <br /> OK to permit as a 1617 once the annual permit fee is paid. <br /> Return to 1868 E. Hazelton Ave in Stockton to pay the$243 annual permit fee prior to opening. I <br /> I <br /> i <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 /> Name and Title: Ha'i Alam owner <br /> i Received by: l <br /> EH Specialist: KADEANNE LINHARES Phone: 209 468-0330 <br /> FA0017819 SR0073837 SC061 03/31/2016 <br /> EHE)1623 Rev.06130715 Page 2 of 2 Food Program Service Request Inspection Report <br />