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oPq�IN. San Joaquin County <br /> Environmental Health Department <br /> N: x X <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> �.. ;p.. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> a�ikda`' <br /> Food Program Official Inspection Report <br /> Facility Name and Address: HAVEN ACRES MARINA, 1691 W FREWERT RD, LATHROP 95330 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(CD: ppm Heat: °F Water/Hot Water Ware Sink Temp 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp °F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> 2-door(prep)--41.00°F Traulsen (1-door)--41.00°F <br /> 1-door--41.00°F <br /> NOTES <br /> Sanitizer bucket-200ppm chlorine <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: awn__ Name and Title: Reich, Owner <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0000298 PRO161079 SCO01 11/18/2015 <br /> EHD 16-23 Rev.06/30/15 Page 4 of 4 Food Program OIR <br />