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Re-Inspection on or After: <br />■n) C)irr <br />KB <br />Item / LocationItem/Location <br />Food Safety Certification <br />Chlorine:°FName:ppm <br />Other:Ouat. Amm.:Warewashing Sink:Exp. Date:ppm <br />Phone: <br />| Temperature <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 />EHD 16-24 (2™ pg) 4/3/13 <br />Time Out: <br />Received By / Title: <br />EH Specialist/ <br />Time in: <br />Warewashing <br />Heat: <br />Pag^' of(f <br />FOOD PROGRAM 0IR CONTINUATION <br />Yes No <br />°F <br />Inspection TVP6'C>wK C <br />| Temperature [j <br />I <br />- ____ <br />Facility Hot Water Temperature <br />Hand Sink: op <br />________ _____________OBSERVATIONS AND CORRECTIVE ACTIONS <br />rp5-iilP 1 r — <br />a K Bock kin-lem <br />7- Aoy aK-K <br />X umfTK/ Lxirnpbng <br />-to 111) <br />Food Program Official Inspection Report <br />-.... ,, Snvx’Ky/oyrnu/' /\u Cl,y: Hicoi <br />t In Telephone: <br />Program Record: <br />Permit Posted <br />Name of Facility: \/\j^ <br />Address: M ' rx CKir <br />Owner/Operator: . ( }//[ <br />Program Element: | <br />SB180 Posted Yes No