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San Joaquin County <br /> i Environmental Health Department <br /> H ` ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> Ail j3pRt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: CAPITOL DONUT, 1221 W MARCH LN, STOCKTON 95207 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Ly Lim Expiration Date: May 06,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 135°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 121 °F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> 2 door cooler--front--40.00°F 1 door cooler--back--34.00°F <br /> NOTES <br /> No comment entered. <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: Ly Lim, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0001273 PRO160083 SCO01 12/12/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />