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os4�tN San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> .. �a Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> 4�/FORS <br /> Food Program Official Inspection Report <br /> Facility Name and Address: UOP ANDERSON KITCHEN, 3601 PACIFIC AVE, STOCKTON 95211 <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 12F0 F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> 2 door true—44.00°F 2 door victory—right side--41.00°F <br /> 2 door victory--left side--41.00°F <br /> NOTES <br /> Kitchen is used only for storage. On occasions is used as a culinary kitchen. <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: Darla Nobis, Manager <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0002275 PRO160544 SCO01 09/27/2016 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program OIR <br />