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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: BASKIN ROBBINS#2078, 1219 W MARCH LN , STOCKTON 95207 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Silvia Qureshi Expiration Date:October 15,2023 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 124°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 122°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 door front counter- 34.00°F 1 door Ustar--back--41.00°F <br /> 1 door front--33.00°F <br /> NOTES <br /> Ok to issue new permit once fee is paid. Return to office today. Program 1623 Fee$350 <br /> Back date permit to Feb 19, 2019 <br /> Equipment Rheem water heater 38,000 BTU, small 3 comp, hand sink, prep sink, mop sink, rest room sink <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: V Name and Title: Yesenia Lupian, Manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0001265 SR0080623 SC061 05/16/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />