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City:VAf^k A <br />Program Element: <br />NoPermit PostedSB180 Posted <br /> <br /> <br />\K <br /> <br />Item / Location <br /> <br />Item/Location <br />Heat:Chlorine: <br />VOther:Quat. Amm.:Exp. Date:T PPm <br />EHD 16-24 (2™'pg) 4/3/13 <br />Phone: <br />Time Out: <br /> <br />yj | fix Ao <br />San Joaquin Cola../ <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 />Warewashing <br />PPm <br />Name of Facility: <br />Address: <br />Inspection Type: <br />Re-Inspection on or After: <br />Temperature <br />I— sp <br />IM <br />17x3 F '-asp <br />Temperature <br />H f I-- <br />Program Record: < <br />Yes <br />J <br />pVTvJ <br />Food Safety Certification_________ <br />Name: <br /> <br />Pagek of <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />°F <br />a3S^<X _____ <br />OF <br />- q-H -4 Ao I <ro V <br />V>U JLp.A- -F5V vQg-xJe <br />~~ ''--i v a AFj cz-l O'.' <br />Yes No <br />\ IM O fa <br />Warewashing Sink: <br />nullm pi/^A <br />Food Program Official Inspection Report <br />PfA Date: 4-2-7-19 <br />opcode: <br />Owner/Operator: <br />___ <br />Received By / Title: <br />EH Specialist:________ <br />Time in: <br />__________________________OBSERVATIONS AND CORRECTIVE ACTIONS <br />LP __ ^Sf>\s~Crc^2 L_c^j(>z ~S * Y <br />cx C-V XckA X <br />j I <br />FtFX-Vv <br />Facility Hot Water Temperature <br />Hand Sink: op <br />V CTO I— _______________________________ <br />kAj * V <br />_______________2^____________________ <br />Telephone: