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/City: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted NoYes Permit Posted Yes <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />^^7-> <br />) ’ H/F <br />____ <br />Temperature <br />Food Safety Certification <br />Name:Chlorine:°FPPm <br />Exp. Date:Warewashing Sink:Quat. Amm.:°F °FPPm <br />EH Specialist:Phone: <br />li • > rTime in:Time Out: <br />— <br />V <br />----------- <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 />Other: <br />Warewashing <br />HeatT <br />i I | Q V <br />iiVec II <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />Food Program Official Inspection Report <br />Date: <br />Zip Code: <br />Facility Hot Water Temperature <br />Hand Sink: <>F <br />________ <br />P I (Wf <br />__ <br />Name of Facility: <br />Address: <br />L 1 <br />/r - L <br />Item/Location <br />ILvpfiWx C <br />Temperature <br />_____ <br />No <br />______________ <br />_________________ <br />Program Record: <br />‘^fo££ <br />C1X <br />_______ <br />_________ <br />A L. ..... <br />c-L J;. 7 <br />-------41------■-------I- - I'CF <br />^Urri A J - <br />mi i Co. <br />Page of <br />FOOD PROGRAM 0IR CONTINUATION <br />Received By / Title: <br />EHD 16-24 (2nd pg) 4/3/13 <br />kukii/o~ <br />37 E <br />Item I Location'. <br />gy/HUJ <br />izJ1 ^1'31"