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w: <br />Zip Code:City: <br />Telephone: <br />SB180 Posted <br />2 <br />TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />Name:ppm <br />iQuat. Amm.:'arewashing Sink:Exp. Date:CF <br />Z <br />EHD 16-24 (2^ pg) 4/3/13 <br />______ <br />Chlorine: <br />Warewashing <br />Heat: <br />K..r? <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.orq/ehd <br />Pton°: <br />Time Out: <br />Received By / Title: <br />EH Specialist: yRZ <br />Time in: <br />Name of Facility: <br />Address: <br />Inspection Type: <br />Re-Inspection on or After: <br />Pa^oL$! <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: op °F <br />/•z-7 <br />Program Record: 5 9~y <br />Permit Posted Yes No <br />| Temperature <br />Food Program Official Inspection Report______ <br />SEA A/IOJT AidZKET-_______________________Dale: <br />y/SSE KS________City: !________ZIP Code: <br />Owner/Operator: <br />ppm other: <br />e <br />- <br />oaz T~ <br />se I- ic.E) (r <br />< /J c rz <br />z Z Z <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />_ fiJo m Z<- /zc yZ- <br />fn< iqd 8 F____ <br />/El E'(Aj v z) /Z,______ <br />r ~ F^-- <br />£< ________ <br />Program Element: $4” <br />Yes No