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City:Zip Code: <br />Telephone: <br />Inspection Type:Program Element:Program Record:1I <br />Re-Inspection on or After:SB180 Posted Yes No Permit Posted Yes No <br />“IOBSERVATIONS AND CORRECTIVE ACTIONS <br />x ) \ <br />I <br />L.~ <br />/ <br />-- <br />t <br />Item / LocationItem/Location TemperatureTemperature <br />I <br />\ A <br />Food Safety Certification <br />Name:Chlorine:°F <br />Exp. Date:Warewashing Sink:Quat. Amm.:Other:°F °Fppm <br />Received By / Title: <br />EH Specialist:Phone: <br />Time in:Time Out: <br />EHD 16-24 (2nd pg) 4/3/13 <br />4- <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 />| <br />Facility Hot Water Temperature ' <br />Hand Sink: op <br />Food Program Official Inspection Report <br />Date: <br />Mu <br />_______ <br />Ic I <br />Warewashing <br />ppm Is <br />Page of <br />FOOD PROGRAM 0IR CONTINUATION <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />_