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4�1 San Joaquin County <br /> Environmental Health Department <br /> ::. <br /> 1868 East Hazelton Avenue, Stockton, CA95205-6232 <br /> a Telephone:(209)468-3420 Farr: (209)464-0138 Web:www-sj�aov.or Ick:' <br /> Food Program Official Inspection Report <br /> k <br /> Facility Name and Address: SIMPLY DONUTS, 1365 E YOSEMITE AVE, MANTECA 95336 6 i <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety certificate: needed _ E xpiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp 120°F <br /> Quaternary Ammonia(QA): ppm <br /> Hand Sink Temp 105°F <br /> FOOD ITEM--LOCATION --TEMP°F--COMMENTS <br /> 2 door Ascend reach-in--42.00°F 1 comp prep sink-- 120.00°F <br /> 2 door True--39.00°F Restroom hot water--112.00°F <br /> NOTES <br /> bleach available <br /> Observed Food Handler cards for Sitha Kham and Bunthoeun Yim. <br /> I <br /> I <br /> I <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: Bunthoeun Yim,-owner's brother <br /> EH Specialist: KADEANNE LINHARES Phone: 209 468-0330 <br /> FA0000899 PRO161026 SCO01 01/08/2016 <br /> EHp 16.23 Rev.06130/15 Page 2 of 2 Food Program OIR <br />