Laserfiche WebLink
SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: ACAMPO STORE, 3085 E ACAMPO RD ,ACAMPO 95220 <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Mop Sink--Back Room--120.00°F 2-Door Display Case--Market--44.00°F <br /> Hand Sink--Restroom--100.00°F <br /> NOTES <br /> Change of ownership inspection conducted this date. Inspection report was discussed with Harbaksh Singh. <br /> Prepackaged only. <br /> Okay to issue permit for program element 1615. Owner should return to this office, 1868 E. Hazelton Ave, Stockton,with this <br /> inspection report to provide a copy of driver license, complete the facility information (Form 5021)and pay the annual health <br /> permit($250). <br /> Inspection report will be e-mailed to facility. <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: '1 S Name and Title: Harbaksh Singh, Owner <br /> EH Specialist: STEVEN SHIH Phone: (209)468-9850 <br /> FA0000242 SR0082170 SC061 06/15/2020 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />