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Food Program Service Request Inspection Report <br />Facility Name and Address: RIPON MINI MART, 101 W MAIN ST , RIPON 95366 <br />Environmental Health Department <br />Chlorine (Cl): <br />Name on Food Safety Certificate Expiration Date: <br />ppmQuaternary Ammonia (QA): <br />Heat:ppm º FWarewash Water/Hot Water Ware Sink Temp:º F <br />Hand Sink Temp:º F <br />OBSERVATIONS <br />N/A <br />9 Multi D display cooler -- 41º Fahrenheit Walk in cooler -- 39º Fahrenheit <br />Mop sink/ hand sink -- Rest room -- 80º Fahrenheit <br />FOOD ITEM -- LOCATION -- TEMP º F -- COMMENTS <br />NOTES <br />Change of ownership. <br />As per new operator, they will be selling prepackaged food only. <br />NO FOOD PREPARATION ON SITE. <br />Food area with hand sink, 3 comp sink and prep sink, will NOT be used at the time being . <br />Okay to operate. <br />Obtain permit ASAP. <br />PE 1615 $292 to be paid for the new permit. <br />5021 form 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: <br />EH Specialist:Phone:(209) 616-3052 <br />, <br />GEHANE FAHMY <br />, <br />Page 2 of 2EHD 16-23 Rev. 09/16/2020 Food Program Service Request Inspection Report <br />FA0015944 SR2501097 SC521 05/21/2025