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i �� I I I AI Environmental Health Department <br /> YSA N U N <br /> f�■z�w� COUNTY <br /> Greorness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: BEVERLY GROUP LLC, 613 CAROLYN WESTON BLVD , STOCKTON <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: needed Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): 400 ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Turbo Air freezer-left--6.60°F 3 comp--123.00°F <br /> mop sink--123.00°F Vendo merchandiser--37.00°F <br /> 1 door Turbo Air-back counter--40.00°F 12 door walk-in--36.00°F <br /> front of the house hand sink--101.00°F 1 door Turbo Air-front counter--41.00°F <br /> 1 door Turbo Air freezer-back counter--9.00°F back of house hand sink 100.00°F <br /> 2 door freezer -1.00°F restroom hand sinks(x2)- 100.00°F <br /> 1 door freezer--1.00°F 2 door Turbo Air freezer-right---3.70°F <br /> NOTES <br /> Food plan check pre-final <br /> OK to permit is not issued this date. See item#45 <br /> No signature obtained. <br /> Report typed 9-21-22 7:28a-7:45a <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: discussed w/Joanne Gomez, Project <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0082305 SC523 09/20/2022 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />