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NoNo <br />/J <br />7 <br />^7) <br />V <br />pZ^g-^g <br />'■) <br />/ <br />Food Safety Certification <br />Heat: <br />Other:°FFppm <br />fa? &/- <br />7 Pagi <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2™1 pg) 4/3/13 <br />Warewashing <br />ppmName: <br />Exp. Date: <br />Chlorine: <br />iQuat. Amm.: <br />-p7-— <br />Phone: <br />Time Out: <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 />7Temperature <br />Name of Facility: <br />Address: <br />°F <br />Received By / Title: *1/ <br />EH SpedalistT.^ <.^7^ <br />Time irr C <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Warewashing Sink: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />cm i <br />-77^) <br />C' H 'Z*«* <br />j Temperature <br />Program Record: <br />Permit Posted Yes <br />Item/Location <br />c>- <br />^7 _______________7----------- <br />Item / Location <br />Food Program Official Inspection Report <br />/z-e-sy-/ifDate: 1 <br />City: Zip Code: <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />rB