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City: <br />—QIP <br />I TemperatureItem / LocationTemperatureItem/Location <br />Page <br />EH Specialist: <br />Time in: <br />Phone: <br />Time Out: <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 />Received By / Title: <br />EHD 16-24 (2"° pg) 4/3/13 | <br />leat: <br />)ther: <br />Program Record: <br />Permit Posted <br />| ____ <br />Chlorine: <br />Quat. Amm.: <br />Warewashing <br />ppm <br />PPm <br />FT <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />°F <br />Food Safety Certification <br />Name: A-WAFC <br />Exp. Date? <br />Name of Facility: <br />Address: j <br />Owner/Operator:' <br />Program Element: <br />SB180 Posted Yes <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Warewashing Sink: op <br />iTAT7tcoppm <br />m t b is - (onwj > <br />imb w----- <br />No <br />PklMLlcT-in <br />Yes No <br />Food Program Official Inspection Report <br />IbA R. Clty: LUzAi <br />Inspection Typef^? p <br />Re-Inspection on or After: 1 <br />ryTwr W-- <br />, (Wyctsi mtC WF <br />OBSERVATIONS AND CORRECTIVE ACTIONS ■ <br />: @ ' c/TT'jm <br />pM <br />I iw (/nrlQK- Uip <br />CMiE' ~ <br />0 J C k hs-S <br />~ cz. ACiv :wu - P <br />tv? r t A roTU&t- -