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City: <br />Telephone:Owner/Operator: <br />Inspection Type: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />GC)\< <br />.S. <br />OvSt^c- <br />-eye5 <br />CFM <br />-O^re CTM <br />CFWCVx-A - O\C <br />CFM) <br />k_\~'V'>x<zX-~~z. /^. <br />Item / Location <br />Food Safety Certification <br />Name:°FPPm <br />Other:Quat. Amm.:jWarewashing Sink:Exp. Date:F°F PPm <br />Phone: <br />Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />I__ _ <br />Chlorine: <br />San Joaquin Cour <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 />PcqAaxo - O\d <br />Temperature <br />_________CBM <br />C — <br />Temperature <br />(2 <br />lloO°i~TJS / <br />Yes No Re-Inspection on or After: <br />_____________Food Program Official Inspection Report______ <br />Name of Facility: C Date: \ O" > 'S S <br />Address: City: Zip Code: <br />Facility Hot Water Temperature <br />Hand Sink: °F <br />_____H __________ <br />Time Out: -j ' v5 _________Pag^°l Ip <br />FOOD PROGRAM 0IR CONTINUATION <br />Received By/Title:^^ / <br />EH Specialist: \ IT Q? <br />^ip-6-^ <br />C K <br />Program Elemen|:^ | ic< Program Record: <br />SB180 Posted Yes No Permit Posted