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City: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Record:Program Element: <br />Re-lnspectlon on or After:NoPermit Posted YesYesNoSB180 Posted <br />3 <br />hC o — <br />Q_C> <br />o <br />Chlorine:°FName:ppm <br />Other:Quat. Amm.:Warewashing Sink:•FExp. Date:eF ppm <br />Received By/Title:1 <br />Phone:EH Speciallst:i <br />rime 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.orq/ehd <br />Temperature, ____ <br />V~1 <br />< f \ O' \<^ C'Gy <br />- r'--o <br />Name of Facility: <br />Address: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />-_________ _______________ <br />Food Program Official Inspection Report______ <br />Date: <br />Zip Code: <br />'ifl *•«-'* <br />- zee'd <br />\~7,5r=rgf <br />Facility Hot Water Temperature ^ <br />Hand Sink: <>p <br />es QLhi LC2£5w:-<l <br />v Ca \ ?Of~~____ <br />Xv-\ C \ A <br />Item / Location <br />Warewashing q <br />Heat: <br />Item/LQcation <br />IM <br />Ge>/\cV-g - <br />Food Safety Certification <br />Time Out: Page of O* <br />FOOD PROGRAM 0IR CONTINUATION <br />Wj OvASQr \ ch £ \ <br />x~Ckj