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oPA1!!N., 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 /> claa'aN <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: CHICAGO'S PIZZA WITH A TWIST,8014 LOWER SACRAMENTO RD , STOCKTON 95210 <br /> #44 Premises: Clean/Litter Free; Vermin-Proof <br /> OBSERVATIONS:There are 2 round holes on the walls (close to prep sink and mop sink).Cover holes by 1 week. <br /> Ceiling panel has a gap. Cover all gaps by 1 week. <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(j), 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: Sukhminder Singh Expiration Date:July 13,2022 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 150°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 121 °F <br /> FOOD ITEM --LOCATION --TEMP° F--COMMENTS <br /> 2 door imbera--kitchen--41.00°F 2 door imbera—kitchen—44.00°F <br /> 3 door prep--kitchen--43.00°F <br /> NOTES <br /> ok to issue permit once fee is paid. Back date permit to 06-30-18. Program 1614 Fee$376. Return to office today. <br /> Equipment 40,000 BTU Craftmaster WH,2 hand sinks, prep sink, 3 comp sink, mop sink, 1 restroom <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: jugjit singh, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0012251 SR0079447 SC061 08/01/2018 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />