Laserfiche WebLink
ur I Environmental Health Department <br /> 41 t: SAN-6-JOAQU <br /> r'�JFOSx'tYY Greotness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: SURF CITY SQUEEZE,4950 PACIFIC AVE , STOCKTON 95207 <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): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> air--prep tables--36.00°F air--true freezer--0.00°F <br /> NOTES <br /> Ok to issued permit. Obtain permit prior to operating the business. <br /> PE 1612 <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: <br /> EH Specialist: VIDAL PEDRAZA Phone: <br /> FA0018831 SR0084614 SC061 12/17/2021 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />