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NO <br />A’. <br />/4 I F O <br />Item/Location Temperature TemperatureItem I Location <br />Food Safety Certification <br />Chlorine:Name:leat:°F <br />Exp. Date:Warewashing Sink:Quat. Amm.::her:°F°F ppm <br />4^Rhone: <br />Time Out: <br />EHD 16-24 (2^ pg) 4/3/13 <br />1 T> <br />San Joaquin Counir <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 />Received By I Title: <br />EH Specialist: <br />Time in: <br />Zip Code: <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />Warewashing <br />PPm <br />Facility Hot Water Temperature <br />Hand Sink: op <br />OBSERVATIONS AND CORRECTIVE ACTIONS ' ___ __ <br />--f--------------- <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />-S / <br />Program Record: <br />Permit Posted Yes <br />ixrxl <br />Food Program Official Inspection Report <br />$ T ivw Date: <br />' ZipCode: ^5'3/7 <br />Name of Facility: ' < <br />'Address: ) <br />> No <br />"I <br />• <br />- f F~ <br />-------p ’S?C-Fv lOc? ppr*^ ' <br />( 2-3 3 • <br />CcT Mt C UA, z-i / s7^€C<7 4<^ ______ <br />' pT ) 3 F O I f~ <br />i k I -/z^4Z_—2yJ T — —.--------- <br />^Xx*OV~>^Vt dMcrzDVuf . ^? /y~i /7< /<L. <br />.2^. ^c) <br />Paa.ofz/ <br />FOOD PROGRAM 0IR CONTINUATION