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Zip Code:City: <br />Telephone: <br />Program Record:Program Element: <br />Permit PostedSB180 Posted <br />Ll <br />TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />:hlorine:Name:PPm <br />•ther:luat. Amm.:Exp. Date:PPm <br />Phone: <br />PagejjofTime Out:Time in: <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2nd pg) 4/3/13 <br />1^11^. <br />°F <br />Inspection Type: <br />Re-Inspection on or After: <br />Name of Facility: <br />Address: J i I 7 <br />Owner/Operator: <br />Warewashing <br />leat: <br />San Joaquin Coun^ <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 />Lodi <br />°F <br />°F <br />Temperature | <br />- /PC foo <br />L^&Lx /Vi — (il‘_________ <br />Food Program Official Inspection Report <br />Kc<-, -R.-P_________— <br />.......................... <br />Received By^Title^., U ' £/< Q <br />EHSpeCialiSt: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />PT) ______________________ <br />V\4a4 CV/z __ <br />------yiA|u , <br />Yes No <br />///^ <br />Facility Hot Water Temperature <br />Hand Sink: op <br />iWarewashing Sink: <br />/ow-tf.s /h -----------------—--r— <br />0 GfAl LChit <br />(g) <br />--------------- <br />_____, ______________ <br />V^Pf/~/k C\ <br />_______ <br />_________ <br />Mr <br />Yes No