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T^A < X. <br />SB180 Posted <br />TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification <br />Name:ppm <br />ither:Quat. Amm.:Warewashing Sink:Exp. Date:°F ppm <br />I D tTime 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 />Warewashing <br />leat: <br />Phone: <br />Time Out: PageNet <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />°FChlorine: <br />Date: <br />Zip Code: <br />Telephone: <br />^spection TyPe:-/g/v^ <br />Re-Inspection on or After: <br />Facility Hot Water Temperature <br />Hand Sink: «p <br />Received By <br />EH Specialist: z <br />EHD 16-24 (2napg) 4/3/13 <br />A SAt- <br />Food Program Official Inspection Report <br />m niAH- K <br />C^T^jPL AVR Clty: T^oX <br />Program Element: Program Record: Q <br />Yes No/ Z * Permit Posted Yes No / Re-lnspecti <br />Name of Facility: . — <br />Address: <br />Owner/Operator: <br />z , OBSERVATIONS AND CORRECTIVE ACTIONS <br />(^) 2 4/J~h-e <br />X, P P /At___P /f /d ___________ ________ ___ <br />a/ z? /3 Ad <br />pQ