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Time In: 925 am <br /> Time Out: 4444-am <br /> San Joaquin County (4)"00 <br /> Environmental Health Department <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> Food Program Service Request Inspection Report <br /> Name of Facility: SKY ZONE Date: 05/10/2016 <br /> Address: 5358 PACIFIC AVE, STOCKTON <br /> Requestor: RONEE VAN DYK, HAGGERTY CONSTRUCTION INC Telephone: (209)475-9898 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0073862 <br /> Inspection Type: 523 - Plan Check/Report Review <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Byron Seward Expiration Date: April 28,2016 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 120 OF <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> 2 door prep—39.00°F <br /> NOTES <br /> All conditions written 05/03/16 were met <br /> 3 comp sink,2 hand sinks, mop sink, 10 kw water heater,4 rest room sinks, vent less pizza oven <br /> All food service employee's shall have food handler card by 1 month <br /> NOTE: floor area with rubber coving is only for the storage of unopened food. <br /> OK to issue permit. Return to office before opening. Program 1624. Fee $300 <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: Terry Dorgan, superintendent <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> SR0073862 SC523 05/10/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />