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^4A <br />Zip Code:City: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit PostedSB180 Posted Yes No <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />C\ <br />z> <br />3t <br />- CrK\ iPO <br />( <br />Item / LocationItem/Location <br />C <br />'S <br />hlorine:Name:°Fppm <br />(ther:mat. Amm.:Warewashing Sink:Exp. Date:CFppm <br />Received By/Title: <br />Phone:EH Specialist: <br />Time Out:Time in: <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2-«pg) 4/3/13 <br />Name of Facility: <br />Address: <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.org/ehd <br />WjO \ i <br />Warewashing <br />leat: <br />I Temperature <br />mc>F <br />I Mn r <br />Food Safety <br />°F <br />°F <br />Page of <br />Food Program Official Inspection Report <br />V-oJye Date: \ o C <br />, Temperature | <br />Igx t <br />______ <br />Facility Hot Water <br />(Hand Sink: <br />fa <br />-O-? <br />f <ko \ S I V~ <br />\co<r^L. <br />wo yg <br />C- \—x < y\ ________________________ <br />z <br />f 1