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Pa�'y San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> ��/FORa <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: NATION MARKET, 202 S SINCLAIR AVE , STOCKTON <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 100°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 dr True--41.00°F Mop sink--100.00°F <br /> NOTES <br /> Ok to issue permit after the fee of$318 is paid. PE: 1612 <br /> This facility will be leased out by the Nation Market store owner. Need to create a new FA ID. <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: i* Name and Title: Ruby CuevAS, Employee <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> SR0076163 SC061 11/04/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />