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City:Zip Code: <br />Owner/Operator:Telephone: <br />Program Element:Program Record:Inspection Type: <br />Re-Inspection on or After:SB180 Posted Yes No Permit Posted Yes No <br />1OBSERVATIONS AND CORRECTIVE ACTIONS <br /><^2. <br />) <br />Item/Location Item / LocationTemperature <br />y-. <br />i <br />Food Safety Certification <br />Name:°FPPm <br />Exp. Date:Warewashing Sink:Quat. Amm.:Other:°F°F Ppm <br />Received By / Title: <br />EH Specialist:Phone: <br />Time in:Time Out:Page of <br />EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <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 />Warewashing <br />|Heat: <br />Name of Facility: <br />Address: <br />Food Program Official Inspection Report <br />Date: <br />__________ <br />Facility Hot Water Temperature || <br />Hand Sink: op Chlorine: <br />Temperature