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Date: <br />City:Zip Code: <br />Owner/Operator:Telephone: <br />Program Element:Program Record:Inspection Type: <br />SB180 Posted Yes Permit Posted Yes I Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />■ * <br />7 j <br />7- <br />r < <br />) <br />Item/Location Temperature Temperature <br />Name:°FPPm <br />Quat. Amm.:ither:Warewashing Sink:Exp. Date:OF °FPPm <br />Phone: <br />Time in: <br />EHD 16-24 (2'’° pg) 4/3/13 <br />Received By / Titlej^^ <br />EH Specialist <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.orq/ehd <br />f v <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br />r_, <br />Y Gvr XrxX_____ <br />Food Program Official Inspection Report_______ <br />C v M ) t Date' ( M z 3 <br />Food Safety Certification <br />p\<JCC—? <br />Tv Axy <br />Facility Hot Water Temperature <br />Hand Sink: op <br />, oU. <br />j <br />Item / Location <br />VK<^V\ - <br />Chlorine: <br />ZQR- ______ <br />Time Out: Page^fjf <br />FOOD PROGRAM 0IR CONTINUATION <br />-___________________________________________ <br />. - , co2ld/^_i_ <br />\ <br />£ ATX^