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Zip Code:City:z . ' <br />Program Element:Program Record: <br />SB180 Posted Permit Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />( 3/ /-i^.4c cl <br />OlA-h <br />hx !. <br />TemperatureItem / LocationTemperature <br />Food Safety Certification <br />Chlorine:Name:°F <br />'arewashing Sink:Exp. Date:ppm <br />Phone: <br />Page of <br />FOOD PROGRAM OIR CONTINUATION <br />52- - 5 '7^7 D A>: Z^c A / r~c/ <br />Item/Location <br />San Joaquin Cou. <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: <br />(S)^rh')rs-hj 5. <br />Warewashing <br />lHeat: <br />Food Program Official Inspection Report <br />Date: <br />Received By 7 Titjef <br />EH Specialist: <br />°F <br />" i I ia)^ h <br />Z97 iaJcma 5 b A? <br />lOO~)d^c(=r <br />TAJ? <br />Timeout: / on <br />(L) [iunw'iLfs <br />Telephone: ^01-22-0^ <br />Inspection Typet-r______2____ <br />Re-Inspection on or After: <br />R /CfTL/Si »: n <br />Facility Hot Water Temperature <br />|Hand Sink: op <br />op llQuat. Amm.: <br />AA \ f- /i C'l b <br />Owner,Op.,J /____________________ <br />Program Record: <br />Yes No Permit Posted Yes No <br />Timemr^^Q <br />EHD 16-24 (2nd pg) 4/3/13 <br />^22^Z <br />„____z<ZLz)r<€ <br />-Cdot-kr (G &ji F- <br />ppm <br />Other: