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OBSERVATIONS AND CORRECTIVE ACTIONS <br />Temperature <br />t vc Kiui l4B <br />Chlorine:Name:°Fppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F ppm <br />Phone: <br />EHD 16-24 (2nd pg) 4/3/13 <br />JU <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 />Food Safety Certification <br />Name of Facility: <br />Address: <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />No <br />W-__s. <br />I £> 4 z u <br />Facility Hot Water Temperature <br />Hand Sink: oF <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />_ VOoppm . shnyxx <br />C4-< A _ (? Q .S <br />Z^T7 4ZZ <br />No <br />Page of <br />FOOD PROGRAM 0IR CONTINUATION <br />JerJ~ <br />'cJm , rk <br />Program Record: <br />Permit Posted Yes <br />______pC______ok:------------------------ <br />4/E ------ <br />j2i.cc- <br />2L c) fry <br />____________ <br />____________________ _______________________t________________ <br />07) ' -fai to , . _ <br />3 c -z> SrVIe (Zl? <br />/VS. <br />Food Program Official Inspection Report <br />VZ-^77 /W Z z ^tyZ ZipCode: _ <br />Telephone: <br />Re-Inspection on or After: ' ~~~ / <br />Warewashing <br />Heat <br />cJzt lOv- ’ " <br />-1 ’<4 f~ &>( hcPdlO ’ <br />pvt.q'f*-, pC1 ^kap_< <br />in/J.f'- ________________ <br />S^ t Z9 t4 /c <2- C- PcPifT1 - <br />^4 UJP <br />Item! Location Temperature <br />TimeOut: , f <br />-------S BuZ . <br />4^* frt? v r^'tp iz-^ <br />______ __________2. <br />_____________> 1^1- ---- <br />—$LU#/ .TZtizk s- <br />ZZ----H-s H----------- <br />_____p p/ F\ x^— <br />(X> -------- <br />F^a cc -------- ---. r <br />p S ^0 F u r jooPP'- /c? F H hPAy <br />pjvvyp sink A/l>V s-^ f L<p, y h . Sfrf <br />-. ccyi i Al£- ‘V <br />..."* * <br />Item/Location Temperature I___ <br />■■ . 9 -.J ; -. : .',/J j k