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City:Zip Code:Oo cL K <br />Telephone: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit Posted Yes NoSB180 Posted Yes No <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />‘ 14-/ 2,0 <br />LL <br />kJ <br />TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />°FName:PPm <br />ither:Quat. Amm.:Warewashing Sink:Exp. Date:°F PPm <br />Received By/Title: <br />Phone:EH Specialist: <br />Page ofTime Out:Time in: <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2nd pg) 4/3/13 <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 />7. ~~ <br />______ ______^s><< , <br />Name of Facility: <br />Address: <br />Warewashing <br />lHeat: <br />Owner/Operator: <br />°F <br />Food Program Official Inspection Report <br />1-1^ Date: <br />Facility Hot Water Temperature <br />Hand Sink: op <br />[ Temperature <br />IP <br />3 <br />Co^. ( <P>'___________________________v________ <br />tv) -^Q'T <br />S— —