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/MA ^jNRISE fUMPKl^J '0-0^^ 7-5Zip Code: <br />Telephone: <br />Permit Posted <br />j'jL <br />couj <br />Item / Location TemperatureTemperatureItem/Location <br />Food Safety Certification <br />Name:ppm <br />Other:Quat. Amm.:Exp. Date:°F°F ppm <br />Received By/Title: <br />EH Specialist: <br />Time in: <br />|___ _ <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 />/Yz6 <br />___// <br />mo ru /A© <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat? <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />PageNet <br />FOOD PROGRAM OIR CONTINUATION <br />caki £> y <br />Food Program Official Inspection Report <br />Da,e: <br />°F <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes No <br />/ o /V/77 <br />EHD 16-24 (2nc pg) 4/3/13 <br />C o TV n kA <br />H /S' <br />mspectionType^^p <br />Re-Inspection on or After: <br />Facility Hot Water Temperature <br />Hand Sink: <br />Warewashing Sink: <br />O o <br />Program Record: p p Q) 50 1 7 <br />Yes No <br />_____________ <br />Phone: 5~^ / - <br />Time Out: ; y P