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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: 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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <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 sm 2 door prep--back--40.00°F <br /> Ig 2 door prep--back--36.00°F front display--counter--41.00°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 /> 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, ow <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0021001 SR0083509 SC523 06/15/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />