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Zip Code:City: <br />Telephone:Owner/Operator: <br />Inspection Type: <br />Re-Inspection on or After:Permit Posted <br />cA <br />\ <br />EX <br />cXj - <br />CO5 <br />EX cbmG <br />TemperatureItem / Location <br />Food Safety Certification <br />Name:PPm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F PPm <br />Received By / Title: <br />Phone:EH Specialist: <br />Time Out:Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />San Joaquin Coui . <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 />[X-X <br />Warewashing <br />Heat: <br />Name of Facility: <br />Address: <br />______Pag£_of (q <br />FOOD PROGRAM 0IR CONTINUATION <br />Temperature <br />I__ <br />Chlorine: <br />Item/Location <br />GE) <br />___________________________________ <br />°F <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: <br />Food Program Official Inspection Report <br />Date: t Q - I B "I F <br />Program Element^p s <br />SB180 Posted Yes ' No <br />box \lo~~4 v2 <br />Vqu/JgxA- I -V <br />P 0q\ \ <br />JL \ C-9b> <br />-TO <br />Program Record: / <br />Yes No <br />> p attSLaj <■ ' <br />x>V>f ; <br />pt—mX-E \ <br />______________________OBSERVATIONS AND CORRECTIVE ACTIONS <br />Jo) <br />\ k.Q___ <br />cbJEJL