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w: <br />No <br />] Temperature Item / Location <br />Food Safety Certification <br />hlorine:Name:PPm <br />Other:iuat. Amm.:arewashing Sink:Exp. Date:°F PPm <br />Phone: <br />Time Out:Time in: <br />Name of Facility: <br />Address: <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.siqov.org/ehd <br />Jg' S 2- <br />Pago^of <br />Received By / Title: <br />EH Specialist: <br />Program Record: <br />Permit Posted <br />yr 1 <br />t'c/z CDD <br />S <br />°F <br />-------- ---------------------------------------- <br />Facility Hot Water Temperature <br />Hand Sink: op <br />°F <br />y-1 ___ <br />__i "C* <br />'/l /jirt 1^1/ . <br />| Temperature <br />EHD 16-24 (2nd pg) 4/3/13 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br />cl -P <br /> tv <br />6^2^^ <br />/ ** <br />/ f <-> i'11 <br />Program Element: <br />SB180 Posted Yes <br />( I 3J) M Z1 <br />rR^O'-^FS <br />Yes No <br />1 <br />_______ra^2'3 <br />FOOD PROGRAM 0IR CONTINUATION <br />//.£ /$£'£!------1 <br />S . 6 A717* c^f <br />d>l ; <br />e5vi, ci ht <br />Food Program Official Inspection Report_______ <br />A/Zl - ^nvz'Xp, ^UrC. ' <br />Zip Code: <br />Owner/Operator: Telephone: <br />Inspection Type: <br />Re-Inspection on or After: 7