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Time In: 1020 am <br /> Time Out: 10:40 am <br /> o .. .. San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> Food Program Service Request Inspection Report <br /> Name of Facility: MATSU SUSHI Date: 06/05/2017 <br /> Address: 874 LIFESTYLE CENTER ST , MANTECA 95337 <br /> Requestor: HYEON SIG KANG, MATSU SUSHI 1 Telephone: (510)421-2592 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0077587 <br /> Inspection Type: 061 -CONSULTATION <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Elizabeth Lee Expiration Date:April 11,2020 <br /> Warewash Chlorine(Cl): 100 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 /> 2 door True prep--40.00°F 2 door True--40.00°F <br /> men's restroom hand sink--102.00°F <br /> NOTES <br /> Food Handler Cards obtained. <br /> OK to permit as a 1625 once the annual permit fee is paid. Pay$342 prior to opening <br /> Additional charge: 18 minutes from 5-31-17 and 30 minutes for 6-5-17=48 additional minutes <br /> Total dur$342+$111.20=$453.20 due prior to opening. <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: Hyeon Sig Kang, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0020435 SR0077587 SC061 06/05/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />