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w: <br />City: <br />tt ^1, <br />X*? <br />TemperatureItem / <br />Food Safety Certification <br />°FName:ppm <br />ither:Warewashing Sink:°FExp. Date:PPm <br />Phone: <br />Time Out: <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2™ pg) 4/3/13 <br />Name of Facility: <br />Address: <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 />Program Record: <br />Permit Posted <br />Warewashing <br />leat:Chlorine: <br />5? O <br />31 <br />/c <br />Owner/Operator: <br />Program Element: f <br />SB180 Posted Yes No <br />Received By / Title: <br />EH Specialist^ v <br />Time ini <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />- C V6? • cA.—proy cclf. Itof Z <br />lei b Ze s^--—---------- <br />Food Program Official Inspection Report_____ <br />Aia Slvre t Dale: <br />/ City: Zip Code: <br />__________________________________________ ‘___________________________________________________Telephone: <br />p2 Z7 T) y// ? 'nspectlon <br />Yes No Re-Inspection on or After: <br />—2 <br />Item/Location <br />Facility Hot Water Temperature <br />Hand Sink: op <br />op Quat. Amm.: <br />’cl ( <br />{isi.acJc <br />------ J <br />J - z '________ ______________ <br />■ j, —y——'------- <br />■_ - / - <br />//<Jfc,,, (OP at /Pg t- fox/oy / g Zzj^-FZH M <br />__S'/y'iiZS ofc- —:------Z—-------------------------------77;-— <br />j/l (J rz&v'& I C ^-—— ■>—---------------------P------- <br />c--- <br />)bvt- ■ I ‘—-P— <br />—----------—------------ i /zMr ni£ ,} to^ -i <br />— ^7. -----y