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w: <br />City: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />r <br />f <br />r <br />^ xc ■ <br />/• <br />Temperature <br />Food Safety Certification <br />Name:ppm <br />Other:Warewashing Sink:Exp. Date:ppm <br />Phone: <br />Time Out: <br />FOOD PROvEHD 16-24 (2™ pg) 4/3/13 <br />f <br />|_____ <br />Chlorine: <br />Warewashing <br />Heat:’ <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.sjqov.org/ehd <br />Name of Facility: <br />Address: <br />Received By / Title: <br />EH Specialist: <br />Time in:7?. i'H_______ <br />lQuat. Amm.: <br />'So ciety <br />r i JC*' <br />t-O TemperatureItem / Location <br />PR } <br />No <br />Facility Hot Water Temperature <br />Hand Sink: op <br />°F <br />Owner/Operator: <br />Program Element: / z, <br />SB180 Posted Yes No <br />Th) <br />------------- z n-b <br />> /Di <br />e, 7 Hi <br />* <br />Program Record: <br />Permit Posted Yes <br />■ rnJa <br />iszfcz <br />ii 3-v- y <br />■ Set" 5 f 3> B <br />Food Program Official Inspection Report_______ <br />6/74 Mtkyi S Pate: /v / ~ <br />,67 ' / S City: Zip Code: <br />/ I Ft ________________________________________________________Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />—Kdffji piip-— ------7 <br />—a—UT—:—7 <br />3 C-CTYVbp __L^- <br /> i i p s— <br />7g Tx -ep <br />3Cckaa^ (5(_______A/S ) io p, <br />/Z^ZTZZ {//&</20Vtf>f>v^ - <br />3> 3 ' >___________ <br />U J—/Toft C/ /zv^L/SS 1--------------------------- <br />pp^ <br /> /\/t2 SpApS * <br />Item/Location <br />CoTw < <br />2-v-> cvl7>-<-/ ■—cP