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l~7A^r'I’Cxa. <br />I.OPppYY^__i_____._______' <br />/(^F^o^F <br />e. <br />& <br />. P<£> i n: J . <br />^0^ fc^ <br />TemperatureItem / LocationTemperature <br />Food Safety Certification <br />Heat:Name:°F <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F ppm <br />7 <br />Phone: <br />Time Out:Time in: <br />EHD 16-24 (2"dpg) 4/3/13 <br />Item/Location <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 />n s ‘Br. <br />fit <br />Received By/Title: <br />EH Specialist: <br />I <br />Inspection Type: <br />Re-Inspection on or After: <br />Date: <br />Zip Code: <br />Telephone: <br />A'/f OS o 3 2 7? <br />No <br />Warewashing <br />PPm <br />_ ___u__ <br />FOOD PROGRAM 0IR CONTINUATION <br />Owner/Operator: <br />Program Element: / fj <br />SB180 Posted Yes No <br />7 <br />J 9/7/-/ <br />HS <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />ff) - <br />------3 < p 7 J. <br />2^ <br />/z//r PagTf <br />City: <br />Program Record: <br />Permit Posted Yes <br />Facility Hot Water Temperature <br />Hand Sink: oF <br />7 2 -------„ --------------------- <br />P ^7k *■ Fo ircJr'__ <br />y . 2/^ / / dVt It ft' _____________________________ <br />leo P- loR t~ <br />3 <br />Wi? ( Co^-. <br />_____________Food Program Official Inspection Report <br />Name of Facility: Fl <br />Chlorine: