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aEnvironmental Health Department <br /> SANAMUIN <br /> t --C 0UNTY— <br /> °�IYOV� Greatness grows here. <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: RAISING CANES (RC 530 STOCKTON), 4707 PACIFIC AVE , STOCKTON <br /> 2 door BA--fry station--41.00°F 2 door BA--fry station--41.00°F <br /> 2 door BA--lemonade station--41.00°F 1 door BA--drive thru--38.00°F <br /> 1 door BA--drive thru--37.00° F walk in freezer--back--2.00°F <br /> 1 door--cashier--41.00°F CO2-- back--200.000 L <br /> walk in cooler--back--41.00° F <br /> NOTES <br /> Ok to issue permit once fee is paid. Return to office with pink&green forms. Programs 1919 & 1625 Fee$376 <br /> Equipment: 2 Rinnai tankless water heaters, 3 comp sink, mop basin, 5 hand sinks, 2 mini prep sinks, 3 rest rooms <br /> There are currently [over 200 lbs] of carbon dioxide (CO2) cylinders at the facility. Please be aware that CO2 is an asphyxiant <br /> and is therefore considered a hazardous material subject to regulation under Chapter 6.95, Health and Safety Code, Division <br /> 20, The reportable quantity for CO2 is 137 pounds or 1,200 cubic feet in San Joaquin County (SJC). You will be placed into <br /> the SJC Environmental Health Program for Hazardous Material Business Plan (HMBP) and will be required to report your <br /> hazardous materials in the California Environmental Reporting System (CERS). For more information or to comply with the <br /> reporting requirement in CERS, please go to: http://cers.calepa.ca.gov/ <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: Randall Burnitt, superintendent <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 616-3051 <br /> SR0083173 SC523 11/29/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 2 of 2 Food Program Service Request Inspection Report <br />