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City: <br />Ff <br />TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification ■ <br />Hand Sink:°F ppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F ppm <br />Received By/Title: <br />Phone:EH Specialist: <br />Time Out:Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />Facility Hot Water Temperature <br />Chlorine: <br />San Joaquin Couni / <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 />%U- <br />2-^ <br />//_____ <br />°F <br />'---Kr <br />’• <br />Name: <br />/Ur? t L?—_ <br />k/ / Tt:.Program Element: <br />SB180 Posted Yes <br />Page of <br />_________________Zx ZZ <br />FOOD PROGRAM 0IR CONTINUATION <br />Name of Facility: <br />Address: <br />“ ate <br /><_____________________________________ <br />rL, / Z 7i s 7 Telephone: <br />/Z-/ V c p &<7;Y7!L4't t Z /-■_________________________________________________ <br />/ ^/ /7;/^a," Record^^4S^//^/7s~z/-^ge?-ionType: A <br />S No ' Permit Posted Yes No / Re-l'nspectio'n on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />. 1x2__| ’(j. Jy , >' / G -..zy x -------------------------------------------------------- <br />_______________C______p> < /kn. (J |A I 4-3 pf~>______________--------------------------------------------- <br />y, 12 7'r ,__\\ <7 < i. L_ _ ______I pt? — i o 3 y <br />—(QJpVT —Qu Pr~r P*—’ <br />___________Warewashing____ <br />Heat: <br />Food Program Official Inspection Report <br />Z,pCode: <br />. ! V <br />Owner/Opera‘tor: