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cx-rvid SANAOAOWN Aurt —COUNTY— <br />\„*SdfriV <br />.40EQ1A, t.treeness grows her. <br />Environmental Health Department <br />Food Program Service Request Inspection Report <br />Facility Name and Address: BOBA LICIOUS CAFE & ICE CREAM PARLOR, 7610 PACIFIC AVE , STOCKTON 95207 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />OBSERVATIONS <br />Name on Food Safety Certificate: <br /> <br />Expiration Date: <br /> <br />Warewash Chlorine (Co:ppm Heat: 0 F Water/Hot Water Ware Sink Temp 1200 F <br /> <br />Quaternary Ammonia (QA): 200 ppm Hand Sink Temp 117 ° F <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />2 door Atosa -- back -- 41.00° F <br />Ig 2 door prep -- back -- 36.00° F <br />NOTES <br />Ok to issue permit once fee is paid Program 1613 <br />Return to office by 06/18/21 to pay permit fee of $350 <br />sm 2 door prep -- back -- 40.00° F <br />front display -- counter -- 41.00° F <br /> <br />Equipment: Navien Tankless water heater, 3 comp sink, prep sink, hand sink, mop sink, 1 rest room. Type II hood <br />Dry storage room's floors are not up to code. This room shall be used only for unopened containers of food. <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: Marco Solis & Christina Vilaysouk, <br />EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 616-3051 <br />FA0021001 SR0083509 SC523 06/15/2021 <br />Page 2 of 2 Food Program Service Request Inspection Report EHD 16-23 Rev. 09/16/2020