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A4W" San Joaquin County <br /> Y., .CO <br /> _.. Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> c4 �; Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> �lFOR� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: SUSD-MARTIN LUTHER KING SCHOOL, 2640 E LAFAYETTE ST, STOCKTON 95205 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Cassie McGill Expiration Date: November 01,2015 <br /> Warewash Chlorine(CI): ppm Heat: OF 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 /> 1 dr Norlake--41.00°F Carter Hoffman-- 135.00°F <br /> 2 dr Norlake(left and right)--41.00°F <br /> NOTES <br /> -Previous report on site <br /> -Sanitizer bucket: 200 ppm QUAT <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: Cassie McGill, Manager <br /> EH Specialist: LEYNA HUYNH Phone: (209) 468-3446 <br /> FA0002017 PRO160561 SCO01 09/30/2015 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />