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City: <br />Telephone: <br />Program Element: <br />SB180 Posted <br />I \TO ' I OQ /~ <br />513 <br />\3 <br />apo <br />\<Cx A-rX-^. <br />r 1 "\ <br />kJ <br />TemperatureItem / LocationItem/Location <br />i <br />hlorine:Name:PPm <br />ither:luat. Amm.:Exp. Date:F°F PPm <br />Phone:EH Specialist: <br />Time in: <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 />Warewashing <br />leat: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />' r-Ji-CL <br />■ 1 ■( <br />EHD 16-24 (2™ pg) 4/3/13 <br />°F <br />3: <br />Inspection Type:— <br />Re-Inspection on or After: <br />; x-/g <br />Program Record: 'S <br />Permit Posted Yes NoYes No <br />Received By / Tit.e: <br />Temperature <br />3-S ________ <br />1 *60 r________ <br />___ K k A_________ <br />Facility Hot Water Temperature <br />jHand Sink: <br />Warewashing Sink: <br />(ys) \ <br />Agw - <br />v - < c <br />_/sA.c\A77< Jd-_______ <br />Food Safety Certification * « <br />W (o I In- SO2._5- <br />Time Out: \ Page^of q> <br />FOOD PROGRAM OIR CONTINUATION <br />_____________Food Program Official Inspection Report_____ <br />Name of Facility: c g C, <\ \ \ ca \ Date: <br />Address: I City: Zip Code: <br />Owner/Operator: