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TemperatureTemperatureItem / LocationItem/Location <br />Food Safety Certification <br />Chlorine:°FName: <br />ither:Quat. Amm.:'arewashing Sink:°FExp. Date:°F PPm <br />Phone: <br />Time in: <br />,___ _ <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.org/ehd <br />Received By / Title:""^^^^ <br />Page/ of <br />FOOD PROGRAM 0IR CONTINUATION <br />EH Specialist: / z <br />EHD 16-24 (2nd pg) 4/3/13 <br />Facility Hot Water Temperature <br />Hand Sink: <br />Warewashing <br />ppm |Heat: <br />■—7/?- U C I'/'/',' <br />-IDlDiHa^ <br />lin <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />fiiW Wf2 <br />A TZZ ------- <br />4 v/z^. dWcMteA bM-tn - <br />fFfFbP Ba/Psp OFiiwji Z <br />_ Apj—tol b-PPfC(? toZyi/Vi <br />__________ Food Program Official Inspection Report _ <br />N«n. of Facility: "pEP TPZppTP . D,te: <br />Adlmsm nZ /Z//?7ZUfj/0 City: Zip Code: - <br />OwneriOperator: . T.lephon.: <br />Program Element: / Progrdm Record: Inspection Type:y-^^y^ ^2^/ <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: r 1