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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 /> walk in--kitchen--35.00°F 2 door prep--kitchen--40.00°F <br /> NOTES <br /> Ok to issue permit once fee is paid <br /> Return to office before opening to turn in paper work and pay fee <br /> Program 1625 Fee$376 <br /> Equipment: small 3 comp hand sink/dump sink at bar, 2 comp prep, 2 hand sinks, 3 comp sink, dish washer, mop basin, 2 rest <br /> room sinks, Navien NPE-210A tankless water heater(10.1 GPM) <br /> There are currently[over 137 lbs] of carbon dioxide(CO2)cylinders at the facility. Please be aware that CO2 is an asphyxiant <br /> and is therefore considered a hazardous material subject to regulation under Chapter 6.95, Health and Safety Code, Division <br /> 20, The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin County(SJC). You will be placed into <br /> the SJC Environmental Health Program for Hazardous Material Business Plan (HMBP)and will be required to report your <br /> hazardous materials in the California Environmental Reporting System (CERS). For more information or to comply with the <br /> reporting requirement in CERS, please go to: http://cers.calepa.ca. <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 11/16/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />