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Q�,as�tn. San Joaquin County <br /> :a Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> tl�oitc' <br /> Food Program Official Inspection Report <br /> Facility Name and Address: Kmart#3174, 2180 E Mariposa Rd, STOCKTON 95205 <br /> OVERALL INSPECTION 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 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Egg and cheese cooler--41.00°F 3 dr milk cooler--41.00°F <br /> 3 dr Mexican cheese cooler--41.00°F Mop sink—120.00°F <br /> 3 dr milk cooler--Receiving—41.00°F <br /> NOTES <br /> -Facility is no longer operating the pizza but dept <br /> -QUAT available <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: gale m billingslea, Cafe dept managE _ <br /> EH Specialist: LEYNA HUYNH Phone: (209) 468-3446 <br /> FA0003278 PRO161524 SCO01 03/02/2015 <br /> EHD 16-23 Rev.OV30/15 Page 2 of 2 Food Program OIR <br />