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City: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Record: <br />Re-Inspection on or After:NoPermit Posted YesSB180 Posted <br />C\ ' <br />o <br />^W\\^L • <br />GL <br />\_}( Q <br />IFood Safety Certification <br />Name:°Fppm <br />Other:Quat. Amm.:Warewashing Sink:FExp. Date:°F ppm <br />33.0) <br />EHD 16-24 (2nd pg) 4/3/13 <br />Name of Facility: <br />Address: <br />San Joaquin Count <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 />VXo UCF <br />Temperature <br />Warewashing <br />Heat: <br />Phoh^: <br />Time Out:Page-^f <br />FOOD PROGRAM 0IR CONTINUATION <br />2.?' <br />Item/Location <br />too <br />I <br />: Chlorine: <br />Temperature <br />1 3bR <br />S’M <br />Food Program Official Inspection Report______ <br />Date: <br />Zip Code: <br />Received By / <br />EH Specialisth^^^3^ZM <br />time in: <br />(VgJ s^\\ <br />1X>j <br />l^o( I"- <br />X\\ <br />Program Element: y ZE) <br />Yes No <br />_____________________________OBSERVATIONS AND CORRECTIVE ACTIONS <br />U - < - <br />UvO \OM\- <br />Item / Location <br />(T) o&cj fOl 1 <br />y/j <br />P^JC <br />Facility Hot Water Temperature <br />Hand Sink: op