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S A I D J O M Q V I N Environmental Health Department <br /> COU N7Y <br /> Food Program Official Inspection Report <br /> Facility Name and Address: GOLDEN RICE BOWL, 536 E HAZELTON AVE, STOCKTON 95203 <br /> #44 Premises: Clean/Litter Free;Vermin-Proof <br /> OBSERVATIONS:Observed back sliding door open while prepping in kitchen. Keep back door closed or provide a <br /> screened door if door is to remain open. <br /> CALCODE DESCRIPTION:The premises of each food facility shall be kept clean and free of litter and rubbish all clean and soiled linen <br /> shall be properly stored non-food items shall be stored and displayed separate from food and food-contact surfaces the facility shall be <br /> kept vermin proof. (114067 6), 114123, 114143(a)&(b), 114256, 114256.1, 114256.2, 114256.4, 114257, 114257.1, 114259, 114259.2, <br /> 114259.3, 114279, 114281, 114282) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Foon Wong Expiration Date:September 26,2020 <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 121 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 1 Dr M3 prep cooler--41.00°F Walk in cooler--40.00°F <br /> Fried chicken--144.00°F Chow mein--156.00°F <br /> Mop sink--120.00°F 2 Dr prep cooler--41.00°F <br /> NOTES <br /> Previous reports and food handler cards on site. <br /> Official inspection report mailed. <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 /> _;4t <br /> Received by: Name and Title: Jie Wong, Owner <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0002943 PRO162295 SCO01 02/13/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />