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�...Q .. C San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �..• _ P• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4�IFO'Rt� <br /> Food Program Official Inspection Report <br /> Facility Name and Address: MATSUYAMA SUSHI, 835 S TRACY BLVD, TRACY 95376 <br /> Sanitizer bucket-200+ppm chlorine <br /> D/W-Oppm peroxyoctanek Acid <br /> *Provide a note stating electrical panel was too close to 3-comp sink for second drainboard. <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: Robert, Manager <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0012139 PRO515426 SCO01 02/01/2016 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program OIR <br />