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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: SUPER FISH POKE&TEA, 5052 WEST LN, STOCKTON 95210 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: David Ma Expiration Date:October 24,2022 <br /> Warewash Chlorine(Cl): 200 ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 109°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Raw tuna--Cold hold--49.00°F 2 D True cooler reach in--Toppings--41.00°F <br /> 2 D TurboAir cooler--41.00°F Immitation Crab--Cold hold--47.00°F <br /> Hand sink--front--104.00°F Cooked rice--115.00°F <br /> Garlic shrimp--Cold hold--47.00°F Hand sink--Customers rest room--102.00°F <br /> Hand sink--employees rest room--103.00°F <br /> NOTES <br /> Chlorine bucket of 100 ppm was not set up. Corrected on site. <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: David Ma, Owner <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0024324 PR0542341 SCO01 03/21/2018 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 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 />