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City:Zip Code:L <br />Program Element:Program Record: <br />SB180 Posted Yes No Permit Posted <br />'f <br />l '_____ <br />1/ <br />1 7 ^-4' <br />Li <br />TemperatureItem I LocationItem/Location <br />Food Safety Certification <br />Chlorine:°Fppm <br />'arewashing Sink:Quat. Amm.:Other:Exp. Date:°F°F ppm <br />Received By / Title: <br />EH Specialist:Phone: <br />Time Out:Page ofTime in: <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (Z^pg) 4/3/13 <br />_____ <br />San Joaquin Countt <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjqov.orq/ehd <br />___ <br />0 n <br />Warewashing <br />Heat: <br />____ <br />Name: <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />________________ <br />i TA hjQ <br />tv'iC <br />Food Program Official Inspection Report <br />Date: ' / ?■ / <br />- IZlt- <br />' 1/ j■' ( <br />Temperature <br />5 ^777 7 <br />Yes No <br />I L-U- <br />. " —== -= = r=Facility Hot Water Temperature <br />land Sink: <>F <br />J . / ' C ‘ <br />__________ <br />3^ <br />)t 7----T <br />PU t <br />- 7iPC~i <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />■ .■ / <br />, Jaj <br />'■'U't- T flii'cA- - ITt(f' <br />C LV\/. \f ' 1 Li/I/'-L <br />■ ; '7 J. ; <br />j ) JI I " (>• /'Ll 7 I <br />/lJ? CA '• U <br />; X, ;/0 Zh i/\ <br />A . I K V/T