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City:Zip Code: <br />Telephone: <br />SB180 Posted Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />OV\A(y <br />cv- <br />12OI- <br />Item / Location Temperature <br />Name:Chlorine:°Fppm <br />Exp. Date:Warewashing Sink:Quat. Amm.:Other:°F °FPPm <br />Phone:c <br />Time in:Time Out; <br />EHD 16-24 (2"dpg) 4/3/13 <br />Warewashing <br />Heat: <br />Item/Location <br />San Joaquin Coun\ <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 />Page.^of q <br />FOOD PROGRAM OIR CONTINUATION <br />Owner/Operator: <br />Hol <br />i Temperature || w <br />v^Sr'l <br />(\p5 <br />Facility Hot Water Temperature <br />Hand Sink: Op <br />\/ 2_g-j i <br />Received By / Title: <br />EH Specialist: ______c <br />Pr e - <br />Food Program Official Inspection Report______ <br />Date: X <br />Program Element: Program Record: <br /> Yes Re rm it Posted Yes I <br />Gdvx . <br />- \ <br />---v--p <br />6V) cxXe sWkt <br />6 ) '-C-^Vx <br />Food Safety Certification <br />kleA - 'S <br />c\ - \ vvd <br />O\4L <br />OV1 ~ <br />\ 2. <br />>___I < i-g__ <br />I cc <br />' y~ \ <yq~^ pv) p p 1 A>, <br />o\C- yJd oxOVJGv^^. <br />Inspection Type: j <br />10O Pf’nsy ca>