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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: SAKURA HIBACHI CATERING, 1904 PACIFIC AVE , STOCKTON 95204 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): 100 ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 130°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Unable to issue permit until all conditions are met. Call for a secondary inspection. <br /> Bar's 3 comp sink may be used as a hand sink and dump sink <br /> 2 comp sink in kitchen may be used as a prep sink <br /> Sinks: dishwasher, mop sink, large 3 comp sink, small 3 comp sink, 2 hand sinks, 2 rest room sinks, 2 comp mini prep sink <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: Binh Nguyen, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0001949 SR0084147 SC061 10/06/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 3 of 3 Food Program Service Request Inspection Report <br />