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Permit PostedSB180 Posted <br />OBSERVATIONS AND CORI <br />I Temperature| Temperature ||Item / Location <br />Food Safety Certification <br />hlorine:°FName:PPm <br />Other:iuat. Amm.:Exp. Date:°FPPm <br />Phone: <br />Time Out: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.org/ehd <br />Name of Facility: <br />Address: O: <br />Warewashing <br />Heat: <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: <br />ECTIVE ACTIONS . <br />CMcoyin <br />—Wb P <br />Owner/Operator: V \ ’ <br />Program Element: | <br />Yes No <br />-IC8P <br />feds- <br />(AKp- i-M- — <br />Ta/ p m pag^0^ <br />\ FOOD PROGRAM 0IR CONTINUATION <br />Warewashing Sink: <br />pTm <br />EHD 16-24 (2nd pg) 4/3/13 <br />Food Program Official Inspection Report <br />wvvi-nYrvkx^- _, ' . , , paie:>xh/^Ap <br />' ■ < ~ j T“ 7,_____________’_______________________ Telephone^),’ <br />Program Record: ) - ) -j j Inspection Type': \ ' VyA/p Tt jpgl [ <br />Re-Inspection on or After: t