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S A N-J O A Q U I N Environmental Health Department <br /> C Q U N T Y_______ - Time In: 11 55 am <br /> Time Out: 12:22 pm <br /> e�c,aos�t` Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Name of Facility: 209 PIZZA Date: 12/29/2020 <br /> Address: 8102 KELLEY DR , STOCKTON 95209 <br /> Requestor: MOHSEN M KHAN &MUHAMMAD WALEED AGHA KHAN, 209 PIZZA Telephone: (209)507-9458 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0083058 <br /> Inspection Type: 061 -CONSULTATION <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Varinder Singh Expiration Date:January 26,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 115°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> mop sink-- 120.00°F hand sink--115.00°F <br /> 3 door reach-in/under pizza prep--41.00°F walk-in--40.00°F <br /> hand sink--warm water--102.00°F <br /> NOTES <br /> PE 1617 <br /> Ok to issue permit once fee is paid. <br /> Note: Observed Display refrigerator and 3 door Cold Tech under pizza prep are not plugged in at this time. <br /> Provide these pieces of equipment at a minimum of 41 F or lower when storing PHF. <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: MUHAMMAD W. KHAN, owner, Sig n <br /> EH Specialist: STEPHANIE RAMIREZ Phone: <br /> FA0002770 SR0083058 SC061 12/29/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />