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�0•.¢4 •.coG San Joaquin County <br /> Environmental Health Department <br /> ;. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> 4�l'p'(IRa <br /> Food Program Official Inspection Report <br /> Facility Name and Address: PAYLESS LIQUORS, 101 N SACRAMENTO ST, LODI 92540 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 114°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> walk-in--42.10°F <br /> NOTES <br /> No comment entered. <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: mathew, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0000126 PRO160298 SCO01 08/28/2015 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />