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Zip Code: <br />XK2 <br />Telephone: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:SB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />\ <70 <br />g- <br />a ) O 1 <br />Item / LocationItem/Location <br />Chlorine:Name:°FPPm <br />Quat. Amm.:Other:Exp. Date:Warewashing Sink:°F°F PPm <br />Received By / Title: <br />Phone: <br />EHD 16-24 (2"dpg) 4/3/13 <br />EH Specialist: <br />Time in: <br />Warewashing <br />Heat: <br />San Joaquin Counfi <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 />Name of Facility: <br />Address: <br />Temperature <br />w <br />Page-pf <br />FOOD PROGRAM 0IR CONTINUATION <br />r________ <br />Owner/Operator: <br /> Yes I <br />Temperature I <br />\ko^__________ <br /> Yes Rermit Posted <br />\O\F <br />CA 'V <C-______ <br />I • <br />. .JAWt,. <br />Facility Hot Water Temperature <br />Hand Sink: op <br />\ AcAb- V <br />CV^3cq.^ __ <br />Food Safety Certification <br />Sv- <br />\ CVO Ao tv <br />/<• r—'SiAik;- <br />Food Program Official Inspection Report <br />P-.-.V.„ ,.k____________________ ^te: V25-| <br />v-Wg City: _______ZipCode: <br />\SoF ________ <br />r v \ i \ <br />< \ 7 \ ^y- <br />^2 \ x\ • <br />Time Out: