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•< <br />Owner/Operator: <br />Program Element: <br />SB180 Posted <br />du <br />( <br />cw <br /><0 <br />Item / Location TemperatureTemperatureItem/Location <br />Food Safety Certification A <br />°Fppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°FeFppm <br />Phone: <br />fe; <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 />Facility Hot Water Temperature <br />Hand Sink: <br />Warewashing <br />Heat: <br />(C<^k - cU-A <br />Cc <br />mspeetionType:^,^^ f q-. <br />Re-Inspection on or After: <br />J__ <br />Name: <br />' o <br />Received By/Title: <br />EH SpeciaMsfc-VJ <br />rime in: S\ Ok/y\ <br />EHD 16-24 (2* pg) 4/3H3 <br />p Chlorine: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />_______________ <br />Program Record: <br />Yes No <br />_ 'o-SOZS <br />Time Out: Page .of <br />FOOD PROGRAM OIR CONTINUATION <br />CA'2,V^ v<kx^vY-\ Av> \ <br />pv)(V-p V <br />0r~'&-zVD <br />_____________Food Program Official Inspection Report_____ <br />Name of Facility:_____________________________________C+^M ~TgXVS? Dale: ^o \S ZS <br />Address: O AAcxAfs 5-V CI1V: (W-\yA ZIP Code:Cf I <br />\ V n - v Telephone: <br />________ <br />Yes No Permit Posted