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City: <br />Owner/Operator: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />jo-51 <br />?f 0- <br />tV^TS •Jo's <br />3H5 <br />Item / LocationTemperature <br />Food Safety Certification <br />Name:°Fppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:FPPm <br />Phone:Mbft-QSBOEH Specialist: <br />Time Out:Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />"3© <br />SSI <br />I <br />Chlorine: <br />San Joaquin Couni <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 />Received By / J <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br />D <br />Pageg>f , i <br />FOOD PROGRAM 0IR CONTINUATION <br />Food Program Official Inspection Report_____ <br />CPM 4 TF Pate: 4-2-1-IB <br />Zip Code: <br />\-V/k fWUJCQ. <br />? (\J A/\-> Cj? <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: op <br />IP <br />Telephone: <br />Program Record: g s; / 5 Q, Ip S 2-?, Inspection Type:^^, . <br />Yes No ' Re-Inspection on or After: I <br />Program Elemery^^, <br />SB180 Posted I Yes INo Permit Posted