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Environmental Health Department <br />, <br />Food Program Service Request Inspection Report <br />Facility Name and Address: JIMMIES PLACE SUSHI; 2130 Clountry Club BLVD STOCKTON 95204 <br />OBSERVATIONS <br />Name on Food Safety Certificate <br />Warewash Chlorine (CI): <br />Quatemary Ammonia (QA): <br />FOOD ITEM — LOCATION — TEMP °F -- COMMENTS <br />Hand sink — Restroom — 100° Fahrenne: <br />Prep sink — 120° Fahrenheit <br />One door Dukers cooler —41° Fahrenheit <br />NOTES <br />Expiration Date: <br />Heat ° F Water/Hot Water VVare Sink Temp: 120 °F <br />Hand Sink Temp: 100 °F <br />Three door prep cooler— 41° Fahrenheit <br />Mop sink — 120° Fahrenheit <br />Two door Atosa cooler— 41° Fahrenheit <br />PPm <br />ppm <br />Needed <br />Consultation inspection for ownership change. One major violation. Time given for correction of minor violations. No re-inspection. <br />Ok to issue permit once updated 5021 is received, permit fee is paid and proof of correction of major violation is received. <br />PE 1624 <br />New owner for FA0001470 (NOT THE FA ON THE SERVICE REQUEST PAPER) <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 />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 />FA0001476 SR2400470 SC521 09/17/2024 <br />EHD 16-23 Rev. 09/16/2020 Page 4 of 4 Food Program Service Request Inspection Report