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w: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />% <br />\ 4 v r 8^ b <br />< <br />r <br />A <br />7 <br />C k " <br />Item / Location <br />Food Safety <br />Name: <br />Warewashing Sink:Exp. Date:°F <br />EHD 16-24 (2* pg) 4/3/13 <br />tVo " <br />S-Vdlo \ uv> <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.orq/ehd <br />phone: 2-0 - Ip \ SQ2S <br />Time Out: Page . of Q <br />H~r 0.2 <br />| Temperature <br />1 hsr <br />rayc . ui j <br />FOOD PROGRAM OIR CONTINUATION <br />°F <br />°F <br />Received By / Title: U <br />EH Specialist:^^^^^ ;§ <br />Time in: > <br />IK~) 6? - <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />/ y 'i c <br />Food Program Official Inspection Report_______ <br />AT-£c|F'\a _____________Date- g, - - Z \q <br />%\ City: ZiPCode: F 52 OZ <br />A \ \ ' Telephone: <br />Av y -\~x ______________________________________ __ ________________ <br />Program Record: p yBOF Inspection Type: \ Q <br />Permit Posted Yes No * Re-Inspection on or After: <br /><3^ <br />Id <br />Owj <br />Warewashing <br />ppm |Heat:’ <br />ppm <br />Facility Hot Water Temperature | <br />Hand Sink: °F Chlorine: <br />Quat. Amm.: <br />C^J\ <br />' -C_LZ <br />AZvO \ V? \~~ <br />Fvrvyl <br />?> X)\o V <J\S pp Y <br />Temperature <br />c—‘^5 F V-Ay ^7—_____ <br />Name of Facility: Fr\<3C V FyXi <br />Address: 'O \ <br />MS <br />No