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SAN ]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: LLISD-SIERRA MIDDLE SCHOOL, 6468 ALEXANDRIA PL , STOCKTON 95207 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Pamela Thomas Expiration Date:October 04,2026 <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 /> Mop sink--121.00°F Prep sink 120.00°F <br /> Two door Traulsen cooler--40.00°F Hand sink Back kitchen--100.00°F <br /> Walk-in cooler--37.00°F <br /> NOTES <br /> Plan check final inspection. No major violations. No re-inspection. <br /> Ok to operate. <br /> Official inspection report was emailed to operator. <br /> To minimize person-to-person contact,the signature of the person receiving the inspection report was not captured. <br /> Notes: Steam tables and warming cabinets should maintain food at 135 F or above. <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 /> FA0006818 SR0086330 SC523 08/03/2023 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />