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* <br />City: <br />Al <br />Pq M as <br />I <br />(CO-(Oft i-A <br />Item / LocationItem/Location <br />?■ <br />Name: <br />Quat. Amm.:Exp. Date:ppm <br />EHD 16-24 (2n0 pg) 4W <br />KI <br />Chlorine: <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 />°F <br />~ Peg ______ <br />Si) S ScWCQ <br /><gT) V-Vj <br />I Page <br />_^AJ <br />V2CV \-sU <br />Temperature <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: °f <br />Warewashing Sink: <br />y-xs o ?; cksvv- <br />CA-fl <br />°F <br />Temperature II <br />__ <br />^ved By/Title: < )P(?J^V\/ c MLA/Z " <br />EH ^ia'i^^Wk^g fone: <br />Time in: Time Out: <br />OBSERVATIONS AND CORRECTIVE ACTIONS———ni <br />\k0 C- <br />Name of Facility: V-? < <Y~"CA. <br />Address: SciKogg <br />Owner/Operator: <br />Program Eleme^v>2 <br />SB180 Posted Yes 'No Permit Posted <br />Program Record: fo M z s<|^ <br />Yes No f <br />Food Program Official Inspection Report_______ <br />__________Dale: -S • 'S.S -2^ <br />;_______zipCode: qSZVO <br />Telephone: <br />Inspection Type: "T^ <br />Re-Inspection on or After: <br />Warewashing <br />ppm He^ <br />Other: