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�P.o•9tk. Q San Joaquin County <br /> ).•'�fy <br /> X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. iP• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �/PORN <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: SAVE-MART#1, 3310 E MAIN ST, STOCKTON 95205 <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: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Bakery display--41.00°F Taqueria walk in cooler--41.00°F <br /> Produce display--41.00°F Bakery walk in cooler--41.00°F <br /> Cheese walk in cooler--41.00°F Mop sink--120.00°F <br /> Meat walk in cooler--41.00°F Deli meats--41.00°F <br /> Produce walk in cooler--41.00°F <br /> NOTES <br /> This is a final inspection. <br /> -There are 2 water heaters on site, same exact size and model: State Sandblaster, 199,000 BTU, Serial 1640103579094, <br /> model SBL-100-199NE 200 <br /> Ok to issue permit after the fee of$428 is paid. PE: 1619 <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: luie e arcia operations manager <br /> Y 9 P 9 <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> FA0001914 SR0068391 SC523 01/12/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />