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C F <br />Zip Code:City: <br />Telephone:Owner/Operator: <br />SB180 Posted <br />( <br />o <br />i fJ-Ff <br /> <br />^7 <br /> / <br />-7 J <br />| TemperatureItem / LocationTemperature <br />Food Safety Certification <br />°FName:ppm <br />Other:Warewashing Sink:°FExp. Date:PPm <br /> U <br />Phone:EH Specialist: <br /> <br />Time Out:Time in: <br />EHD 16-24 (2"°pg) 4/3/13 <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 />crM <br />Warewashing <br />Heat: <br />PrOobOc_£<L <br />°F <br />1 ...... -2 Chlorine: <br />Food Program Official Inspection Report <br />Date: (^-j - - 2 ^4 <br />-J <br />I <br />Yes No <br />Name of Facility: t fcK C - <br />Address: /-• 0 -2 <br />(\ko) <br />5 Prv c o____________________ <br />Page of <br />FOOD PROGRAM 0IR CONTINUATION <br />j <- Q ^Inspection Type: <br />Re-Inspection on or After: <br />17 OBSERVATIONS AND CORRECTIVE ACTIONS <br />mcivL <br />f^-C) \ rvx_________________________________ <br />^7 <br />C Q ^42 <br />7 <br />Program Element: . (^^2 / ( k Program Record: <br />Yes No Permit Posted <br />' Item/Location <br />\J \ \ \ <x <br />~Q~ / C <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Quat. Amm.: