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r: � I I I Environmental Health Department <br /> N <br /> Y U <br /> r�■■z�ti� COUNTY <br /> Greorness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: AFC SUSHI @ SAFEWAY, 19555 S MOUNTAIN HOUSE PKWY , MOUNTAIN HOUSE <br /> quat sanitizer and test strips are available at 3-comp sink <br /> No signature obtained <br /> report typed in the office 3:55p-4:04p <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/Ross M &Chris R, <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0085569 SC061 11/14/2022 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />