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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: DONUT KING, 6351 PACIFIC AVE , STOCKTON 95207 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Needed 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: 101 OF <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Mop sink--120.00°F Hand sink--Front counter--106.00°F <br /> Two door cooler--Next to restroom--41.00°F Two door Delfield cooler--40.00°F <br /> Hand sink--Restroom--106.00°F <br /> NOTES <br /> Consultation for ownership change inspection. No major violations. No re-inspection. <br /> Ok to issue permit once permit fee is paid ($355)and updated 5021 is received. <br /> PE 1624 <br /> Official inspection report was emailed to the operator. <br /> To minimize person-to-person contact,the signature of the person receiving the inspection report was not captured. <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: LYDIA BAKER Phone: (209)616-3046 <br /> FA0007650 SR0086127 SC061 12/15/2022 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />