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SAN =J OAQ U I N Environmental Health Department <br /> COUNTY- <br /> �c,F❑�t' Greotness grows hers. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: TESORO/SHELL 68153, 2448 W KETTLEMAN LN , LODI 95240 <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: 120°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Walk in cooler--41.00°F Sandwiches display cooler--47.00°F <br /> Mop sink--127.00°F Hand sink--Rest room--130.00°F <br /> Front hand sink--138.00°F <br /> NOTES <br /> Change of ownership inspection. <br /> Okay to operate. Obtain permit as soon as possible. <br /> PE1615 $250 to be paid for the new permit under new ownership. <br /> 5021 form needs to be updated. <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: rose melendrez,Assistant Store Man <br /> EH Specialist: GEHANE FAHMY Phone: (209)953-7698 <br /> FA0000505 SR0081106 SC061 09/19/2019 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />