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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: ARCO 02076, 800 E Kettleman LN , LODI 95240 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Carina 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: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> RR--100.00°F HW--100.00°F <br /> 3-Comp--120.00°F 3D True--41.00°F <br /> Nacho--138.00°F 2D Hatco--147.00°F <br /> NOTES <br /> New owner consultation. Above items must be complied as a condition for operation. <br /> OK to issue permit after fee is paid and 5021 updated. PE 1617 <br /> OIR emailed to inoonan@austin.rr.com and store3579@crosistores.com <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: robert martinez, training manager <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0003633 SR0076178 SC061 02/02/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />