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i 1LOD <br />Telephone: <br />Inspection Type:Program Record: <br />Re-Inspection on or After:Yes NoPermit Posted <br />MS~/~yi/)C.-O / <br />r' <br />h <br />1 <br />- <br />Temperature| Temperature Item / LocationItem/Location <br />Food Safety Certification <br />hlorine:FName:PPm <br />ither:luat. Amm.:Warewashing Sink:°FExp. Date:PPm <br />Phone: <br />Time Out: <br />A <br />7 <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 />(C <br />Name of Facility: <br />Address: <br />Warewashing <br />leat: <br />/ // <br />.A <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />---------------------------------------------------------------------------------- <br />°F <br />FOOD PROGRAM 0IR CONTINUATION <br />Owner/Operator: <br />Program Element: z <br />SB180 Posted Yes No <br />— - <br />Facility Hot Water Temperature <br />Hand Sink: <br />^7 <br />Food Program Official Inspection Report <br />City: Zip Code: <br />X4 <br />/ /> Z—b <br />Received By/Title: <br />EH Specialist: <br />Time in: <br />EHD 16-24 (2napg) 4/3/13 <br />/ c? <br />5 ifl«.A vl LS-— <br />_______us ■e.s <br />/ , <br />/ <br />A /v '( ^e <br />______klO— <br />/ Ze —n n c.-ess r— <br />/Z r7 AV ? r - <br />CO