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q p' C A'tA O A n (N Environmental Health Department <br /> —COUNTY <br /> — <br /> e,' <br /> Greatness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: KYI LYNN SUSHI, 1900 McHenry AVE , ESCALON 95320 <br /> pH kit is present. <br /> Employees will use the meat department hand sink.The produce walk in cooler will be used for storing cold foods. <br /> Sushi counter will obtain their own permit. <br /> Owner to complete PINK and GREEN forms at Environmental Health office. <br /> Ok to permit as PE 1612($350)once all fees have been paid and paperwork has been completed. <br /> Owner to return to 1868 E. Hazelton Ave., Stockton with photo ID to complete the above. <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 /> y1 ' <br /> Received by: Name and Title: Kyi Lynn, owner <br /> EH Specialist: SCOTT SANGALANG Phone: (209)468-3452 <br /> FA0012678 SR0080643 SC061 05/23/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />