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w: <br />Zip Code: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit Posted YesNoSB180 Posted Yes <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />c <br />( <br />G <br />Item / Location <br />\ <br /><XYr\. <br />c <br />Name:°Fppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:PPm <br />Received By / Title: <br />Phone: <br />Time Out: <br />Chlorine: <br />Warewashing <br />Heat: <br />i <br />z <br />Vi <br />Name of Facility: <br />Address: <br />EH Specialist: f <br />Time in:T.SSg <br />EHD 16-24 (2nd pg) 4/3/13 <br />) 1I <br />( <br />Food Safety Certification <br />I Temperature <br />I R <br />I "'"l SR <br />Item/Location <br />M 7 f <br />^OO IS <br />No <br />°F°F <br />z.-OR- bl b- 502^ <br />Page of - <br />FOOD PROGRAM OIR CONTINUATION <br />1 Temperature <br />__S4- r <br />t\dg>r <br />Facility Hot Water Temperature <br />Hand Sink: »F <br />-A JknC <br />l <br />Food Program Official Inspection <br />' “ City: <br /><5 J Co-GS <br />I—7 <br />120 / 4 vjOGl <br />J? 4-0^ <br />______ <br />" mi <br />Waj viA-__ <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 V 1 <br />A'V S-kXor-i <br />EPORT_________ <br />Pate: lOb-2M