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Zip Code:'City:7't cy// <br />Telephone:Owner/Operator: <br />Inspection Type:Program Record:Program Element:7<4' <br />Re-Inspection on or After:Permit Posted YesSB180 Posted Yes <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />a <br />'r. < c <br />i <br />-y/) lo /11-"-I <br />I ~ <br />IA, <br />■/ <br />TemperatureTemperature <br />Food Safety Certification <br />Name:ppm <br />Other:Quat. Amm.:'arewashing Sink:Exp. Date:°F°F ppm <br />Received By / Title: <br />Phone:EH Specialist: <br />Page ofTime Out:Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />No <br />u <br />L Z ■■ <br />7 z/’ ? <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 />FOOD PROGRAM 0IR CONTINUATION <br />____LI/. <br />Warewashing <br />Heat? <br />Name of Facility: <br />Address: <br />Item / Location <br />Chlorine:°F <br />V <br />b,^l <br />Facility Hot Water Temperature <br />land Sink: oF <br /> - H <br />Food Program Official Inspection Report <br />Lfv/ Date/ <br />. r <br />No <br />IM/ I'Uti . <br />Item/Location <br />fa. <br />u > <br />y / Jr ru < <br />\ t <£> H. / - <br />-—■- <br />... . ■ L- <br />■ ■ :1'.