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�P.�•�tk. Q San Joaquin County <br /> X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. iP• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �/PORN <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: KIMONO SUSHI, 2433 NAGLEE RD ,TRACY 95304 <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): 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 /> M3(prep)--46.00°F Sushi display 41.00°F <br /> True(2-door)--53.00°F True(2-door) 41.00°F <br /> 2-door--41.00°F <br /> NOTES <br /> D/W-50ppm chlorine <br /> Facility has 4 hand sinks(2 at sushi bar, 1 in the kitchen& 1 at waitress station), 1 mop sink, 1 dishwasher, 1 3-comp sink and <br /> 1 prep sink. <br /> Ok to permit once fees have been paid. Return to EHD and pay for permit. 1625 <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 /> V �� <br /> Received by: Name and Title: Xim, Owner <br /> EH Specialist: MELISSA NISSIM Phone: (209)468-3168 <br /> FA0014809 SR0077392 SC061 05/23/2017 <br /> EHD 16-23 Rev.06/30/15 Page 3 of 3 Food Program Service Request Inspection Report <br />