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City: <br />TemperatureItem / LocationItem/Location <br /> <br /> <br /> <br />Food Safety Certification <br />Name: <br />Exp. Date: <br />Chlorine: <br />Quat. Amm.: <br />Received By / Title: <br />EH Specialist: <br />Time in: <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: wwv7.siqov.org/ehd <br />- rL tj r/f <br />_____________________ <br />Z f 7^!_______________________ <br />EHD 16-24 (2na pg) 4/3/13 <br /> <br />Pa3!?M <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Warewashing Sink: op <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />|/O!c> I <br />Temperature <br />T <br />_________ <br />Phone: <br />Time Out: <br />l->7- l5 <br />Warewashing <br />ppm |Heat: <br />ppm Fher: <br /> —_ <br /> >^VLy <br />-? - - <br /> <br />'7 --- 7 <br />/op <br />rr^s —Zy^’c7> <br />-.niani <br />__ ________________<=> / <br />s No <br />Program Record: <br />Permit Posted Yes <br />OBSERVATIONS AND CORRECTIVE ACTIONS________________ <br />Name of Facility: j p t Q g—A.p^ <br />Address: , j* Q <br />Owner/Operator: <br />Program Element: / / Cy Fh Program Record: "P[^(X S(// H J "*/ / <br />SB180 Posted Yes bio Permit Posted Yes No <br />Food Program Official Inspection Report <br />Date: /i^l 7^ <br />Zip Code: > <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: