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SANOAQU I N Environmental Health Department <br /> COUNTY IY <br /> GrtOrAtSS grow$ here, <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: T4 MILK TEA, 15362 S HARLAN RD , LATHROP <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Rome Vo Expiration Date: December 08,2025 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 133°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 115°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door Aceland prep--38.00°F 1 comp food prep sink--126.00°F <br /> 3 comp--133.00°F mop sink--144.00°F <br /> 2 door Aceland freezer--11.10°F 2 door Westlake freezer--7.00°F <br /> back of house hand sink--120.00°F 3 door Turbo air(1 door freezer section)--0.40°F <br /> 3 door Turbo air(2 door ref section)--33.00°F front of house hand sink--117.00°F <br /> 2 door Aceland(FOH) -35.00°F restroom hand sink--115.00°F <br /> 2 door Aceland(BOH)--34.00°F warewash area hand sink--140.00°F <br /> NOTES <br /> Food plan check final inspection <br /> Chlorine sanitizer and chlorine sanitizer test strips are available <br /> OK to permit as a 1624 once the annual permit fee is paid ($355) <br /> No signature obtained <br /> Inspection report typed up 3:35p-3:51 p <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: discussed w/Steven Vo, owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> SR0084743 SC523 08/10/2022 <br /> EHD 16-23 Rev.07/05/2022 Page 2 of 2 Food Program Service Request Inspection Report <br />