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Time In: 10.3(1 am <br /> Time Out: 11:00 am <br /> oR��tN. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... NSP• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> ��FOR <br /> Food Program Official Inspection Report <br /> Name of Facility: TENDER DONUTS Date: 07/17/2015 <br /> Address: 1304 E HAMMER LN, STOCKTON 95210 <br /> Owner/Operator: SAM, SIV& SAM, CHANNARITH Telephone. (209)476-9078 <br /> Program Element: 1623- RESTAURANT/BAR 1-20 SEATS <br /> Inspection Type: INSPECTION/REINSPECTION 1 hr minimum <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 <br /> health and have the potential to cause foodborne illness.All major violations must be corrected immediately. Non-compliance may warrant immediate <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F --COMMENTS <br /> No Temperature Data Collected <br /> NOTE <br /> All violations from 7/3/2015 have been corrected. Sanitizer bucket at 200 ppm quat. <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: <br /> Name and Title: Siv Sam. owner <br /> EH Specialist: JEFFREY WONG Phone: (209) 468-0335 <br /> FA0001368 PRO162588 SC333 07/17/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program OR <br />